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The use of the monolithic ceramic and direct monolithic composite in the aesthetic rehabilitation of tooth wear

British Dental Journal volume 234, pages 406–412 (2023)Cite this article

Abstract

Traditional cold layering composite techniques can have limitations in the aesthetic rehabilitation of advanced tooth wear, with potentially high maintenance/failure rates and compromised aesthetics. This article explores advances in materials and clinical techniques involving monolithic ceramics and direct monolithic composites. These restorations satisfy the most aesthetically demanding patient, providing good to excellent aesthetics and long-term predictability.

Key points

  • Considers why traditional composite techniques can have high maintenance/failure rates and rapidly deteriorating aesthetics.

  • Describes current monolithic ceramics.

  • Describes the concept of heated-injection-moulded monolithic composites.

  • Outlines fundamental clinical protocols for success.

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Authors and Affiliations

  1. Specialist in Restorative, Prosthodontic, Periodontal and Endodontic Dentistry, Dominic Hassall Training Institute, 91 Lode Lane, Solihull, B91 2HH, UK

    Dominic Hassall

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  1. Dominic Hassall
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Correspondence to Dominic Hassall.

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Hassall, D. The use of the monolithic ceramic and direct monolithic composite in the aesthetic rehabilitation of tooth wear. Br Dent J 234, 406–412 (2023). https://doi.org/10.1038/s41415-023-5621-3

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