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Biomechanical planning for minimally invasive indirect restorations

Abstract

This paper explores the planning and execution of indirect partial-coverage restorations and will outline practical recommendations for maximising the outcomes for minimally invasive (MI) approaches to indirect restorations, with a special focus on vital teeth, endodontically-treated teeth and worn dentitions. Throughout the paper, the supporting evidence for each rationale for partial-coverage restorations will be considered, as well as the risks and benefits of adopting an MI approach to indirect restorations.

Key points

  • Partial coverage indirect restorations are less commonly prescribed by dental practitioners compared to full-coverage crowns.

  • Improvements in material science and digital technologies are opening increased possibilities for aesthetic adhesive partial-coverage indirect restorations.

  • This article highlights recent developments in the evidence base for these restorations as well as an algorithm supporting decision-making in fixed prosthodontics.

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Correspondence to Rupert S. Austin.

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Bomfim, D., Rahim, N. & Austin, R. Biomechanical planning for minimally invasive indirect restorations. Br Dent J 229, 425–429 (2020). https://doi.org/10.1038/s41415-020-2170-x

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