Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach

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The book introduces a unique approach to esthetic restoration of the anterior dentition. Guided by the philosophy of biomimetics, the authors combine sound biologic principles with an overriding respect for the natural intact tooth to achieve esthetic satisfaction with bonded porcelain restorations.



This book is a must have if you enjoy doing bonded porcelain restorations and you want to see how a master does it. The lab work is unbelievable and the photography is excellent. Its like having an Ansel Adams book: you have to see how the best do it so that you have something to aspire to.

Unlike traditional veneers, the approach described in this book draws upon the ideal hues, the subtle shades, and especially the intracoronal anatomy of the intact tooth to serve as a guide to reconstruction and as a measurement of success. From this perspective, a checklist of fundamental esthetic criteria is presented, and treatment planning, diagnostics, tooth preparation, laboratory procedures, adhesive luting procedures, and maintenance protocols are carefully detailed. The reader will find all the information and step-by-step instruction needed to obtain the authors’ superior results, which are showcased throughout the book.

No one will contest the need for less expensive, satisfactory, and rational substitutes for current treatments. The answer might come from an emerging interdisciplinary biomaterial science called biomimetics. This concept of medical research involves the investigation of the structure and physical function of biologic “composites” and the design of new and improved substitutes. Biomimetics in dental medicine has increasing relevance. The primary meaning for dentistry refers to processing material in a manner similar to that by the oral cavity, such as the calcification of a soft tissue precursor. The secondary meaning refers to the mimicking or recovery of the biomechanics of the original tooth by the restoration. This, of course, is the goal of restorative dentistry.

Several research disciplines in dental medicine have evolved with the purpose to mimic oral structures. However, this nascent principle is applied mostly at a molecular level, with the aim to enhance wound healing, repair, and regeneration of soft and hard tissues. When extended to a macrostructural level, biomimetics can trigger innovative applications in restorative dentistry. Restoring or mimicking the biomechanical, structural, and esthetic integrity of teeth is the driving force of this process. Therefore, the objective of this book is to propose new criteria for esthetic restorative dentistry based on biomimetics.

Biomimetics in restorative dentistry starts with an understanding of hard tissue structure and related stress distribution within the intact tooth, which is the focus of the opening chapter of this book. It is immediately followed by a systematic review of parameters related to natural oral esthetics. Because the driving forces of restorative dentistry are maintenance of tooth vitality and maximum conservation of intact hard tissues, a brief chapter describes the ultraconservative treatment options that can precede a more sophisticated treatment. The core of the book centers on the application of the biomimetic principle in the form of bonded porcelain restorations (BPRs). The broad spectrum of indications for BPRs is described, followed by detailed instruction on the treatment planning and diagnostic approach, which is the first step in learning this technique. The treatment is then described step-by-step, including tooth preparation and impression, laboratory procedures related to the fabrication of the ceramic workpiece, and its final insertion through adhesive luting procedures. The book ends with discussion of the follow-up, maintenance, and repair of BPRs.


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