Prosthetic treatments have undergone considerable evolution in recent years, mainly through the use of materials. Not only has the consolidation of materials such as lithium disilicate or zirconium oxide been confirmed, but new materials, either ceramic or hybrid, have also appeared to try to compete with them. The constant evolution in this field forces us to update and describe the precise indications of each one of them based on aesthetics and mechanical properties, as well as all the details related to their clinical manipulation, all in order to to be able to handle these materials in a predictable way in our clinical practice.

On the other hand, the presence in our consultations of patients with large wear is becoming more frequent, either only at the level of the anterior teeth or also at the level of the posterior teeth. In these patients there are a series of decisions that must be made that are key to the success of our treatment, such as when to restore only the anterior teeth or when it will be convenient to increase the vertical dimension, what is the first step in planning treatment of worn cases, how we will gain space for the restorative material by palatine, when it will be necessary to resort to other disciplines to complement our treatment, what material will be the most suitable to restore functional areas or what type of restorations will be of choice (vestibular veneers, double veneers or crowns). On the other hand, despite the fact that aesthetics is important, function is not less important and it will be essential in cases of short clinical crowns that we must lengthen, provide a harmonious and effective anterior guide, although as a previous step it should be ruled out that it does not there is a constraint on the function envelope. Lastly, it is necessary to have a clear protocol for increasing the vertical dimension of occlusion, a protocol that describes in detail each of the steps sequentially to resolve the most demanding situations both aesthetically and functionally.

This book provides an answer to all these questions while addressing other important aspects such as those related to the modeling of pontic spaces both in healed ridges and in post-extraction ridges or the cementing protocol of the different ceramic systems and hybrid materials. In addition, a chapter is dedicated to the treatment with porcelain veneers, another describes in depth the subject related to color and color diagnosis, another deals with photography from a very practical point of view and, finally, a chapter focuses on the digital flow, the present and future of prosthodontic procedures.

Table of Contents:

Chapter 1. INTRODUCTION TO CERAMICS

Ceramic history
Ceramic Composition
Ceramic classification
Classification based on melting-firing temperature
Classification according to the chemical nature of the material
Classification according to the processing system or ceramic application technique
Classification based on treatment before cementation
Classification based on mechanical resistance

Properties of ceramics
Porcelain fracture and reinforcement mechanisms
Bibliography
Chapter 2. LITHIUM DISILICATE, ZIRCONIUM OXIDE AND NEW CERAMICS. CERAMIC SYSTEM SELECTION PROTOCOL

Lithium disilicate
Zirconium oxide
Structure
Types of zirconium oxide
Zirconium oxide generations
Property of zirconia partially stabilized with yttrium (Y-TZP)
Special features in handling zirconium oxide

New ceramics and hybrid ceramics
Clinical protocol for selecting the type of ceramic restoration
Bibliography
Chapter 3. DIAGNOSTIC PROTOCOL AND PLAN FOR THE TREATMENT OF AESTHETIC PROBLEMS

First scenario: patient who does not show gingival margins when smiling
Second scenario. Patient showing gingival margins when smiling and level
Third scenario. Patient showing gingival margins when laughing and uneven
Bibliography
Chapter 4. PILLAR TEETH PREPARATION PROTOCOL

Abutment teeth preparation conditions
Carving sequence
Marginal preparation
Bibliography
Chapter 5. PROVISIONAL PROSTHESIS: DIAGNOSTIC FUNCTION AND MATERIALS

Provisional fixed prosthesis requirements
Diagnostic function of the provisional fixed prosthesis
Materials for making the provisional prosthesis
Bibliography
Chapter 6. SEQUENCE TO GET AESTHETIC PONTICS IN THE PREVIOUS SECTOR

Design of the aesthetic pontics
Sequence to achieve aesthetic pontics
Modeling of the pontic space from extraction
Modeling an already healed ridge with sufficient gum thickness
Modeling an already healed ridge with insufficient gum thickness or a slight loss of substance
Resolution of cases when there is a clear loss of substance

Bibliography
Chapter 7. IMPRESSION TAKING PROTOCOL

Astringent substances
Exposure of the preparation margins. Gingival retraction
Printing materials. Practical considerations
Standard trays and individual trays
Disinfection of prints

Particularities of taking impressions in prostheses on implants
Bibliography
Chapter 8. DESIGN PRINCIPLES IN ZIRCONIUM OXIDE FIXED PROSTHESIS ON TEETH AND IMPLANTS

Design of the caps and structures in fixed prosthetics on teeth
Cap thickness and connector dimensions
Color of the caps and structures
Zirconium oxide palatal / occlusal faces
Monolithic crowns of zirconium oxide and lithium disilicate
Design of the structures in fixed prostheses on implants
Zirconium oxide abutments for fixed prosthetics on implants
Bibliography
Chapter 9. COLOR, COLOR DIAGNOSIS AND COLOR COMMUNICATION

Basics of color science in porcelain
Optical behavior of teeth
Color Guides
Preconditions for diagnosing color
Techniques for diagnosing color
Limitations of color guides and problems in color diagnosis
New technologies: spectrophotometers
Color communication to the laboratory
Bibliography
Chapter 10. PORCELAIN SIDES

Diagnosis and treatment planning
Indications and contraindications
First appointment, diagnostic wax-up and mock-up

Choice of ceramic type
Carving teeth for porcelain veneers
Carving of the vestibular face
Carving of the incisal edge
Carving of the proximal faces
Carving of the cervical margin
Preparation polishing

Special features in carving
Diastema closure
Teeth with previous fillings
Tetracilin stains and other stains
Poorly positioned teeth
Lower anterior teeth
Veneers in premolars
Palatine veneers

Impression taking
Color take
Temporary veneers

Testing and bonding of veneers
Veneers test
Preparation of the different surfaces to adhere
Choice of resin cement
Final details of cementing

Bibliography
Chapter 11. PRACTICAL DENTAL PHOTOGRAPHY

Introduction
Utilities of dental photography

Basic concepts
Opening
Speed
Exposition

Advanced concepts
ISO value
White balance
Picture quality
Camera setting

Types of cameras
Compact cameras
Hybrid cameras
Reflex camera

Dental photography equipment
Amateur team
Professional team
Equipment comparison

Camera accessories
Clinic accessories
Clinical photography
Practical principles
Extraoral photography
Intraoral photography
Aesthetic photography
Basic edition

Bibliography
Chapter 12. DIGITAL FLOW IN ORAL REHABILITATION

Introduction
Digitization in dentistry
Interview
Documentation
Analysis
Communication
Manufacturing
Cemented

The digital flow
Planning
Record taking
Design (CAD)
Processed (CAM)
Finish

Digital transformation in the dental office
Skyn-Corus
Clinical case
Bibliography
Chapter 13. PROTOCOL TO INCREASE THE VERTICAL DIMENSION IN CASES OF SEVERE WEAR

Vertical dimension of occlusion, vertical dimension of rest and interocclusal free space
Basics of increases in occlusion vertical dimension
Based on which parameters do we determine the new vertical dimension of occlusion?
What are the consequences of increasing DV?
Clinical Phases in Occlusion DV Increases: Steps for Predictably Increasing DV
Increases in the vertical dimension of occlusion with a removable partial denture
Stability of the treatment to increase the vertical dimension of the occlusion
Bibliography
Chapter 14. CEMENTING PROTOCOL FOR FULLY CERAMIC RESTORATIONS

Evidence of zirconium oxide caps and structures
Dental bonding. Dentin bond
Special features of crown and bridge cements
Metal surface preparations
Preparation of composite surfaces
Preparation of feldspathic porcelains
Preparation of lithium disilicate, new ceramics and hybrid ceramics
Preparation of polycrystalline porcelains
Bibliography

https://lisermed.com/tienda/protesis/claves-protesis-fija-ceramica/