1001 Questions in Dentistry - Question 3. How do I know what ceramic material to choose for anterior and posterior restorations?

By Jaz Gulati
Tuesday January 1st 2019

When I left Dental school, I felt I had a good grasp of dental materials. The problem was that most of the knowledge I had was academic, and applying the knowledge to clinical situations is far more complex.

From attending several Tubules study clubs, congresses and post-graduate courses over the years, I grew more confident in material selection, including dental ceramics.

This 2 part video series by Ed McLaren on Tubules is a fantastic, concise and clinically relevant summary of the selection of ceramics in anterior and posterior restorations.

The more courses I attend, the less new stuff I learn. Instead, my knowledge gets consolidated and I grow confident in my clinical protocols and decisions. However, I do always pick up a few gems which I can implement on Monday morning.

The below videos cover classification of ceramics, material thicknesses, guidelines for ceramic selection and preparation designs.

A really nice gem I picked up from this Tubules lecture was to assess for cracks in the anterior teeth when considering veneers. The presence of vertical cracks is a warning sign, but vertical cracks are still not as significant as horizontal cracks. Since learning this, I have been transilluminating anterior teeth and have been able to diagnose these horizontal cracks, where I may have missed them before. The presence of such cracks certainly influences your choice of ceramic, as well as how you manage the occlusion, which Dr McLaren discusses in this video.

To view Dr Edward Mclaren's videos click here

Contemporary Ceramics Part 1 Anteriors

Contemporary Ceramics Part 2. Minimal Preparation Veneers

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