09:00 – 10:30
IDEALIZING THE ESTHETIC THE INTEGRATION AND THE RELIABILITY OF THE PROSTHETIC OUTCOME WITH MONOLITHIC ALL-CERAMICS APPROACHES
The prosthetic treatment plan must allow an ideal integration of esthetics, biological and functional requirements on natural teeth and on implants. The esthetic analysis, thanks to an innovative, simplified
and systematic approach to assessing facial, dento-labial, dento-gingival and functional factors, will allow to optimize the prosthetic treatment plan. The management of complex situation requires definitively an ideal and modern assessment of several parameters, in terms of treatment plan, clinical approaches and restorative materials. Concerning the restorative materials the monolithic approach, nowadays represents a strategic options in many clinical situations where the biomechanical aspects are really challenging. Over the last few decades, several types of all-ceramic systems have been developed in order to satisfy patients' increasing demand for esthetics. Today the challenge has been to develop a ceramic material
characterized by excellent esthetic and functional outcomes with minimal thickness in order to preserve tooth structure as much as possible. In this sense, adhesion coupled with etchable ceramic surfaces and material property, (like esthetics, flexural strength and processing techniques), are the key points to improve the mechanical quality of dental restorations, and tooth-like esthetic and functional features. This is essential in order to achieve stable and predictable prosthetic outcomes. Today Lithium Disilicate and Zirconia represent the protagonists in the field of the restorative and prosthetic dentistry. The lecture is aiming to point out what are the elements to consider in order to select and to manage the restorative material in relation to the clinical situation, both in case of layered and monolithic approach.