Penza, Penza, Russian Federation
Penza, Penza, Russian Federation
Penza, Penza, Russian Federation
Penza, Penza, Russian Federation
Background. In prosthetic dentistry, the replacement of a damaged tooth structure with ceramics has become increasingly common today. The possibility of achieving a high level of aesthetics, durability and cost-effectiveness in the restoration of the coronal part of the teeth with all-ceramic inlays by the method of indirect restoration is one of the topical issues for dentists. Objectives. This article gives an idea of the possibilities of modern technology in orthopedic dentistry. The aim of the work is to identify the quality of the restoration result as compared to fillings in cavities with a degree of destruction according to TOSFI (Tooth Occlusal Surface Failure Index offered by V.Y. Milikevich) -0.3- 0.6 in the teeth of the chewing group. Methods. The article deals with the clinical cases of the replacement of insolvent fillings made of a light-cured composite with cast ceramic microprostheses. For the restoration of the molars, 2 all-ceramic inlays were made on a 5-axis open-type milling system Wieland dental zenotec select hybrid. Results. Based on dental microscopic examination and a comparative analysis of the properties and behavior of the composite fillings and ceramic inlays, one can be sure that the restoration with ceramics is much superior to the composite filling, as it represents a more reliable, durable and aesthetic option for restoring the destroyed tissues of the crowns of chewing teeth. Conclusions. In the modern world, various technologies are being created for prosthetics of hard dental tissues that could create more and more perfect restorations. Looking at the investigated examples of clinical cases and relying on the statements of many authors of works on orthopedic dentistry, we can conclude that tabs are the best alternative to fillings. The practical significance of the work consists in identifying the greater efficacy of treatment for people with significant dental defects due to microprosthetics with ceramic inserts as compared with classical treatment with composite materials.
teeth restoration, ceramic insert, microprosthetics, secondary caries, filling
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