Abstract.

The purpose of the study was to conduct a review of the scientific literature and summarize the results of studies devoted to orthopedic dental treatment with ceramic veneers.

Materials and methods. The search for scientific information on orthopedic dental treatment with ceramic veneers was carried out using the PubMed and Web of Science databases. The solution of the tasks set in the work was carried out using a systematic approach in the selection of material, methods of inductive and logical analysis.

Bibliosemantic and analytical methods were used in the study.

Results and discussion. One of the most popular types of contemporary aesthetic prosthetics is the restoration of tooth crown defects using ceramic veneers. Ceramic veneers have been extensively and successfully used to mask intrinsic staining, to give the appearance of straightening, and to correct minor malformations of anterior teeth without the removal of substantial amounts of tooth structure. A list of indications and contraindications for porcelain veneers is followed by their preparation designs, with emphasis on the importance of maintaining the preparation boundaries within the enamel. Impression-taking procedures, provisional restoration fabrication, the choice of porcelain materials and the main aspects of processing the ceramic surface and hard tooth tissue before cementation and the features of cement fixation are presented.

The continued development of dental ceramics offers clinicians many options for creating highly aesthetic and functional porcelain veneers. Nowadays the introduction of milled glass-ceramic materials is expected to overcome the fracture issue due to the enhanced strength of this material as compared to the original feldspathic formulations.

Conclusion. Ceramic veneers have been successfully used in aesthetic dentistry for over 30 years. Further success of dental veneers depends on the ability of the preparation to be carried out correctly, the material and technique chosen for prosthetics and is directly correlated with the level of the doctor’s competence in this field. The main type of complication associated with the functioning of veneers is ceramic chipping. More frequent use in practical work of strong types of ceramics, among which glass ceramics (pressed), which are also perfect in terms of their aesthetic characteristics, will allow to reduce the frequency of complications. Therefore, it is important to pay more attention to the features of the clinical and laboratory stages of production of ceramic veneers in the improvement studies for dentists on the faculties of postgraduate education.

Article received: 18.05.2023

Keywords: ceramic veneers, esthetic dental treatment

Full text: PDF (Ukr)

1. 1. Gürel G, Paolucci B, Iliev G, Filtchev D, Schayder A. The fifth dimension in esthetic dentistry Int J Esthet Dent 2021;16(1):10-32.
2. 2. Calamia JR, Calamia CS. Porcelain laminate veneers: reasons for 25 years of success. Dent Clin North Am. 2007;51(2):399-417. PMID: 17532919.doi.org/10.1016/j.cden.2007.03.008
3. 3. Alothman Y, Bamasoud MS. The success of dental veneers according to preparation design and material type. Open Access Maced J Med Sci. 2018 Dec 14;6(12):2402-2408.doi.org/10.3889/oamjms.2018.353
4. 4. El-Mowafy O, El-Aawar N, El-Mowafy N. Porcelain veneers: An update. Dent Med Probl.2018 Apr-Jun;55(2):207-211.doi.org/10.17219/dmp/90729
5. 5. Marques S, Ribeiro P, Gama C, Herrero-Climent M. Digital guided veneer preparation:A dental technique. J Prosthet Dent. 2022 Aug 24:S0022-3913(22)00381.doi.org/10.1016/j.prosdent.2022.04.035
6. 6. Yu H, Zhao Y, Li J, Luo T, Gao J, Liu H, et al. Minimal invasive microscopic tooth preparation in esthetic restoration: a specialist consensus. Int J Oral Sci. 2019 Oct 2;11(3):31.doi.org/10.1038/s41368-019-0057-y
7. 7. Vanlıoğlu BA, Kulak-Özkan Y. Minimally invasive veneers: current state of the art. Clin Cosmet Investig Dent. 2014 Nov 28;6:101-7.doi.org/10.2147/CCIDE.S53209
8. 8. Abdulrahman S, Von See Mahm C, Talabani R, Abdulateef D. Evaluation of the clinical success of four different types of lithium disilicate ceramic restorations: a retrospective study. BMC Oral Health. 2021 Dec 7;21(1):625.doi.org/10.1186/s12903-021-01987-1
9. 9. Pini NP, Aguiar FH, Lima DA, Lovadino JR, Terada RS, Pascotto RC. Advances in dental veneers: materials, applications, and techniques Clin Cosmet Investig Dent. 2012 Feb 10;4:9-16.doi.org/10.2147/CCIDE.S7837
10. 10. Pincus CL. Building mouth personality. A paper presented at: California State Dental Association. San Jose, California; 1937.
11. 11. Calamia JR. Etched porcelain facial veneers: A new treatment modality based on scientific and clinical evidence. NY J Dent. 1983;53:255-259.
12. 12. Smith BGN. Planning and making crowns and bridges. London: Informa Healthcare; 2013. 326 p.doi.org/10.3109/9780203090633
13. 13. Oen KT, Veitz-Keenan A, Spivakovsky S, Wong YJo, Bakarman E, Yip J. CAD/CAM versus traditional indirect methods in the fabrication of inlays, onlays, and crowns. Version published: 09 April 2014.doi.org/10.1002/14651858.CD011063
14. 14. Bauer B. Zirconia dental crown. Available from: https://www.bauersmiles.com/2013/02/zirconia-dental-crown.html
15. 15. Zuk M. Confessions of a Former Cosmetic Dentist. Celebrity Press; 2010. 172 p.
16. 16. Beuer F, Schweiger J, Edelhoff D, Sorensen JA. Reconstruction of esthetics with a digital approach. Int J Periodontics Restorative Dent 2011 Apr;31(2):185-93.
17. 17. Sorrentino R, Ruggiero G, Borelli B, Barlattani A, Zarone F. Dentin Exposure after Tooth Preparation for Laminate Veneers: A Microscopical Analysis to Evaluate the Influence of Operators' Expertise. Materials (Basel). 2022 Feb 26;15(5):1763.doi.org/10.3390/ma15051763
18. 18. Layton DM, Clarke M. A systematic review and meta-analysis of the survival of nonfeldspathic porcelain veneers over 5 and 10 years. Int J Prosthodont. 2013 Mar-Apr;26(2):111-24.doi.org/10.11607/ijp.3202
19. 19. Garber D. Direct composite veneers versus etched porcelain laminate veneers. Dent Clin North Am. 1989;33(2):301-304.doi.org/10.1016/S0011-8532(22)01194-6
20. 20. Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, et al. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dec;38(12):1001-1009.doi.org/10.1016/j.jdent.2010.08.017
21. 21. Wakiaga JM, Brunton P, Silikas N, Glenny AM. Gopakumar A, Boyle L. WITHDRAWN: Direct versus indirect veneer restorations for intrinsic dental stains Cochrane Database Syst Rev 2015 Dec 2;(12):CD004347.doi.org/10.1002/14651858.CD004347.pub3
22. 22. Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T. Current status of zirconia restoration. J Prosthodont Res. 2013 Oct;57(4):236-61.doi.org/10.1016/j.jpor.2013.09.001
23. 23. Stacey GD. A shear stress analysis of the bonding of porcelain veneers to enamel. J Prosthet Dent. 1993;70(5):395-402. PMID: 8254539.doi.org/10.1016/0022-3913(93)90073-W
24. 24. Cantoro A, Goracci C, Coniglio I, Magni E, Polimeni A, Ferrari M. Influence of ultra-sound application on inlay luting with self-adhesive resin cements. Clin Oral Investig. 2011;15:617-623.doi.org/10.1007/s00784-010-0451-5
25. 25. AlJazairy YH. Survival Rates for Porcelain Laminate Veneers: A Systematic Review. Eur J Dent. 2021 May;15(2):360-368.doi.org/10.1055/s-0040-1715914
26. 26. Morimoto S, Albanesi RB, Sesma N, Agra CM, Braga MM. Main clinical outcomes of feldspathic porcelain and glass-ceramic laminate veneers: A systematic review and meta-analysis of survival complicationrates. Int J Prosth. 2016;29:38-47.doi.org/10.11607/ijp.4315
27. 27. Shetty A, Kaiwar A, Shubhashini N, Ashwini P, Dn Naveen, Ms Adarsha, et al. Survival rates of porcelain laminate restoration based on different incisal preparation designs: An analysis. J Conserv Dent. 2011 Jan;14(1):10-5.doi.org/10.4103/0972-0707.80723
28. 28. Albanesi RB, Pigozzo MN, Sesma N, Laganá DC, Morimoto S. Incisal coverage or not in ceramic laminate veneers: A systematic review and meta-analysis. J Dent. 2016 Sep;52:1-7.doi.org/10.1016/j.jdent.2016.06.004
29. 29. Hong N, Yang H, Li J, Wu S, Li Y. Effect of preparation designs on the prognosis of porcelain laminate veneers: A systematic review and meta-analysis. Oper Dent. 2017 Nov/Dec;42(6):E197-E213.doi.org/10.2341/16-390-L
30. 30. Chai SY, Bennani V, Aarts JM, Lyons K. Incisal preparation design for ceramic veneers: A critical review. J Am Dent Assoc. 2018 Jan;149(1):25-37.doi.org/10.1016/j.adaj.2017.08.031
31. 31. da Costa DC, Coutinho M, de Sousa AS, Ennes JP. A meta-analysis of the most indicated preparation design for porcelain laminate veneers. J Adhes Dent. 2013;15:215-220.
32. 32. Schmidt KK, Chiayabutr Y, KM, Kois JC. Influence of preparation design and existing condition of tooth structure on load to failure of ceramic laminate veneers J Prosthet Dent. 2011 Jun;105(6):374-82.doi.org/10.1016/S0022-3913(11)60077-2
33. 33. Alothman Y, Bamasoud MS. The success of dental veneers according to preparation design and material type. Open Access Maced J Med Sci. 2018 Dec 14;6(12):2402-2408.doi.org/10.3889/oamjms.2018.353