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{{Short description|Management of diseased teeth and functional rehabilitation}} __TOC__ == Definition == '''Restorative Dentistry''' involves the restoration of natural teeth that have been damaged by [[Dental Caries|decay]], trauma, or erosion, as well as the replacement of missing teeth. The primary goal is to return the mouth to full function (mastication) while maintaining an aesthetic appearance. == Types of Restorations == === Direct Restorations === These are performed in a single clinical appointment. * '''[[Dental Composite|Composite Resin]]:''' Tooth-colored material that provides excellent aesthetics and allows for conservative tooth preparation through [[Adhesive Dentistry]]. * '''[[Glass Ionomer Cement]] (GIC):''' Often used in pediatric dentistry or as a base, known for releasing fluoride to prevent secondary decay. * '''Amalgam:''' A mixture of metals (silver, mercury, tin, copper). While decreasing in popularity due to aesthetics and environmental concerns, it is highly durable for posterior teeth. === Indirect Restorations === These require at least two visits or the use of [[Digital Dentistry|In-office Milling]]. * '''[[Crown (dentistry)|Crowns]]:''' A "cap" that covers the entire tooth to provide strength when the remaining structure is compromised. * '''[[Inlays and Onlays]]:''' Used when the damage is too great for a filling but not severe enough for a full crown. * '''Veneers:''' Thin shells (porcelain or composite) bonded to the front of teeth, primarily for aesthetic enhancement. == Principles of Tooth Preparation == The success of a restoration depends on specific engineering principles: # '''Retention Form:''' Features that prevent the restoration from being pulled out vertically. # '''Resistance Form:''' Features that prevent the restoration or the tooth from fracturing under occlusal (biting) forces. # '''Structural Durability:''' Ensuring the material has enough thickness to withstand wear. # '''Marginal Integrity:''' The "seal" at the edge of the restoration to prevent bacteria from entering. == Materials in Restorative Dentistry == * '''Ceramics:''' E.max (Lithium Disilicate) and [[Zirconia]] are the current gold standards for indirect restorations. * '''Resins:''' Light-cured polymers used for direct bonding. * '''Metals:''' Gold alloys are still considered the most biocompatible and long-lasting material for posterior restorations, though less common today due to cost and aesthetics. == See Also == * [[Adhesive Dentistry]] * [[Prosthodontics]] * [[Endodontics]] * [[Minimal Intervention Dentistry]] [[Category:Restorative Dentistry]] [[Category:Clinical Dentistry]]
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