The Direct-Indirect Technique

Fahl jr., Newton / Ritter, André V.

The direct-indirect technique for composite resin veneer fabrication brings together many of the distinct advantages of the direct and indirect techniques. A direct-indirect restoration is one in which the composite resin is sculpted directly on the tooth structure without previous adhesive preparation, light activated, removed from the tooth, heat tempered, finished and polished extraorally, and finally adhered indirectly in the mouth in a single appointment. The resulting restoration exhibits improved mechanical properties, excellent esthetics, and unrivaled marginal adaptation and polishing. One of the most significant advantages of this technique is the possibility to modulate the final color of the restoration with luting agents, allowing for minor modifications in the restoration hue, chroma, and value. Furthermore, the direct-indirect technique has a wide range of applications, including prepless contact lenses and veneers, veneers with preparation (discolored teeth), fragments, diastema closure, and noncarious cervical lesions, among others. This book systematically covers these many applications and provides step-by-step protocols with specific layering strategies for each. Fifteen detailed case studies are included to showcase the technique in various clinical scenarios, highlighting the materials used and the type of composite veneer selected in each situation. Written by world-renowned masters in their field, this book will surely help to elevate your esthetic outcomes.

Magne, Pascal / Belser, Urs C.

The first edition of this book took the dental world by storm in 2002 and became one of the bestselling Quintessence books of all time, and this edition will no doubt do the same. The book takes the science of esthetic dental reconstruction to a new level, both clinically and academically, and offers all that a clinician could wish for in terms of indications and the classic clinical steps for tooth preparation, laboratory and CAD/CAM procedures, adhesive luting procedures, and maintenance. But above all, what makes this book so unique is the underlying principle by which Pascal Magne lives: respect the natural structure and use that nature as your guide in restoration. The central philosophy of the book is the biomimetic principle—that is, the idea that the intact tooth in its ideal hues and shades, and perhaps more importantly in its intracoronal anatomy and location in the arch, is the guide to reconstruction and the determinant for success. Restoring or mimicking the biomechanical, structural, and esthetic integrity of teeth is paramount. Therefore, the objective of the book is to propose new criteria for esthetic restorative dentistry based on biomimetics. The driving forces of restorative dentistry are maintenance of tooth vitality and maximum conservation of intact hard tissues, and as such the book offers ultraconservative treatment options that can precede a more sophisticated treatment. The core of the book centers on the application of the biomimetic principle in the form of bonded restorations using composite resins and ceramics. The broad spectrum of indications of bonded restorations is described, followed by detailed instruction on the treatment planning and diagnostic approach, which is the first step for every case. The treatment is then described step by step, including tooth preparation and impression, laboratory and CAD/CAM procedures related to the fabrication of composite resin and ceramic workpieces, and their final insertion through adhesive luting procedures. Volume 1 covers the fundamentals and basic procedures, and Volume 2 focuses on advanced clinical techniques, maintenance, and repair of bonded restorations. QR codes throughout link to demonstrations of the techniques and dramatic videos highlighting the artistry of biomimetics. Written by a true master and true artist, this book will undoubtedly inspire excellence in anyone who picks it up.