Indirect restorations: an update

Abstract

Indirect restorative procedures are integral to clinical dentistry. Over the past 50 years however, minimally invasive, direct adhesive restorative techniques have gradually replaced many of the indications for traditional indirect restorations. While numerous indirect procedures are still carried out every year, multiple studies have demonstrated that these restorations have limited longevity and are subject to a wide range of clinical complications, including the reduction in lifespan of the restored teeth and an increased risk of dento-legal problems. This article provides an update on the current status of indirect restorations and presents a comprehensive step-by-step guide to optimising all clinical stages, including case selection, patient assessment, diagnosis, aesthetic considerations, treatment planning, tooth preparation design, impression techniques, temporization, cementation and maintenance. CPD/Clinical Relevance: In contemporary dental practice there is a reduced need for indirect restorations. When indicated however, all clinical stages must be optimised to maximize longevity and minimise complications.