Title : Contemporary adhesive Dentistry, the Era of maximum conservation
Abstract:
The development of adhesive biomaterials has revolutionized conservative dentistry as these biomaterials and adhesion techniques ended up reaching fixed prostheses. Nowadays, to rehabilitate a damaged or missing tooth, dentistry offers us different treatment options. Traditionally, to replace a missing tooth, the dental surgeon often follows the conventional therapeutic solutions that were well codified, established, and validated. He generally uses conventional crowns in order to restore damaged teeth or bridges to replace a missing tooth, these techniques require a very mutilating peripheral preparation involving the removal of healthy dental tissues. Implants are also used for the replacement of missing teeth, this therapeutic necessitates complex surgical procedures it also has a high cost.
However, In the past years, the principles of tooth preparation were primordial to obtaining mechanical retention of cemented fixed prostheses. Today their indications may be reconsidered in many cases. Many authors have proposed, over the years, new techniques based on adhesion of fixed prostheses using bonding resin biomaterials instead of cement, for instance, anterior and posterior resin bonded bridges, cantilever bridges, Inlays onlays and overlays, veneers and veneer lays. The fact that these restorations are bonded and no longer cemented has made it possible to make much smaller preparations that are much more conservative of dental tissues, while they ensure optimal function and aesthetics. This work is aiming to discuss the indications of adhesive restorations, the advantages, and disadvantages of the bonding techniques as well as discuss clinical cases in order to outline the alternatives to the traditional fixed dental prostheses.
