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Care & Maintenance of Dental Restorations

Course Number: 468

Types of Materials Used in Esthetic Restorations

The demand for esthetics in dentistry has created an amazing variety of ceramic, composite and porcelain restorative materials that are available for dental restorations (Table 1). For instance, ceramic restorations are so natural looking that even the dental professional may need to carefully evaluate what they observe in the patient’s mouth. While ceramic restorations have a natural appearance and are pleasing esthetically, there are also limitations that must be considered when the restorations are placed. Ceramics are quite strong, but the occlusal forces of mastication and bruxism increase the risk of failure due to the brittle nature of the material.6 It is important for dental hygienists to perform an evaluation of marginal and occlusal integrity of esthetic restorations at each recall appointment.6,19,27

Table 1. Restorative Materials Used in Esthetic Restorations.6,19,27,37

CeramicGlass-based and crystalline-based restorative material

Lucite, lithium disilicates, alumina-based and zirconia-based ceramics are most widely used

Silicate ceramics are excellent for esthetics and used in veneers
CompositeResin restorative material categorized by particle sizes

Nanofilled contain the smallest particles and macrofilled contain the largest particles

Packable and flowable types are available
PorcelainMade of ceramic fired at high temperatures

Restorations may be full porcelain or porcelain-fused-to-metal (PFM)