Semidirect vital tooth onlay restoration: a case report

Resumen

In the loss of much of the coronary structure, either through caries or a fracture, it is indicated to perform restorative laboratory techniques in order to re-establish the patient's health, function and aesthetics, through conservative and minimally invasive techniques. The aim of this manuscript is to report on a clinical case of a posterior restoration using a semidirect composite resin onlay restoration. Initially, a direct morphological reconstruction of bulk-fill resin was performed, followed by cavity preparation with diamond tips. Alginate melding and a model of elastomer-based material were performed. The professional made the onlay piece in micro-hybrid composite resin in the model incrementally. Cementation was performed with dual resin cement following manufacturer's recommendations. Finally, the occlusal adjustment was performed in the maximum habitual intercuspal position and during eccentric mandible movements. We conclude that the semidirect restorative technique in composite resin is as effective as direct and indirect restorations; however, the correct indication of these restorative procedures will define the clinical prognosis.

Descriptors: Dental Restoration; Permanent; Molar. Rehabilitation.

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