482THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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CLINICAL RESEARCH

Posterior indirect adhesive

restorations (PIAR):

preparation designs and

adhesthetics clinical protocol

Federico Ferraris, DDS

Private Practice, Alessandria, Italy

Correspondence to: Dr Federico Ferraris

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Abstract

Posterior indirect adhesive restorations

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(Int J Esthet Dent 2017;12:482–502)

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CLINICAL RESEARCH

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and their predictability6

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-7 In

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- and the

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clean and prepared: inlay (a cavity that

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Fig 1 Posterior indirect adhesive restorations

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Indications

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Generally, in the adhesthetics proto-col, indirect restorations are not chosen

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considered in order to restore an inlay -

rect restorative inlay approaches have -

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Fig 2

Fig 3

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rehabilitations on abraded and/or erod-

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-direct inlay in order to better seal the

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an indirect restorative approach in the

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In the adhesthetics protocol, it is be--

rect partial posterior restorations are:

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16,17 the -

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FERRARIS

487THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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or endodontic treat-20

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the physical prop- and,

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-ation: clinical protocol

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-ation approach:�� -

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In order to preserve the tooth, the hierar-16,17

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For

The

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Fig 4 Fig 5 -

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preparation:��

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�� -tin,

and

FERRARIS

489THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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��

- or

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- the clinical in-

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On the contrary, it has been

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the post to the canal and not the other

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Fig 6 -

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Fig 7 -

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Fig 9 Fig 10 -

Fig 11 Fig 12 -

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Fig 13

Fig 14 -

to adhesion

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The butt joint ---

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��

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The bevel

Fig 15 Fig 16

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��

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The shoulder

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Fig 17 -

Fig 18

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adhesthetics protocol: slot, bevel, and

�� Slot: -

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�� Bevel: a less invasive preparation

Fig 19 Fig 20

Fig 21 Fig 22 --

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�� Ridge up:

Fig 23 Fig 24

Fig 25

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Fig 26 - Fig 27 -

Fig 28

Fig 29

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non-vital tooth,

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clinical protocol

First preparation

Analysis and choice of preparation

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Occlusal preparation

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Peripheral preparation

preparation

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Other protocol steps

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root treated teeth prepared

in restorative dentistry and

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-posite inlays in relation to

Łso˘Uçta -

6-year retrospective clin-

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Randspaltverhalten von

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tooth-colored posterior res-

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Int J Periodontics Restorative

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endodontically treated teeth

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Júnior PC, Soares CJ, Nori-

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Evidence-based concepts

Historical perspectives