Slavkin HC Biomimetics: replacing body parts is no longer science fiction. J Am Dent Assoc. 1996; 127:1254-1257
Magne P, Douglas WH Rationalization of esthetic restorative dentistry based on biomimetics. J Esthet Dent. 1999; 11:5-15
Changqi X, Xiaomei Y, Walker M, Wang Y Chemical/molecular structure of the dentin–enamel junction is dependent on the intratooth location. Calcif Tissue Int. 2009; 84:221-228
Banerjee A, Frencken JE, Schwendicke F, Innes NPT Contemporary operative caries management: consensus recommendations on minimally invasive caries removal. Br Dent J. 2017; 223:215-222
Salis SG, Hood JAA, Kirk EJE, Stokes ANS Impact-fracture energy of human premolar teeth. J Prosthet Dent. 1987; 58:43-48
McDonald A, Setchell D Developing a tooth restorability index. Dent Update. 2005; 32:343-348
Xie KX, Wang XY, Gao J Fracture resistance of root filled premolar teeth restored with direct composite resin with or without cusp coverage. Int Endod J. 2012; 45:524-529
Magne P, Boff LL, Oderich E, Cardoso AC Computer-aided-design/computer-assisted-manufactured adhesive restoration of molars with a compromised cusp: effect of fibre-reinforced immediate dentine sealing and cusp overlap on fatigue strength. J Esthet Rest Dent. 2012; 24:135-146
Magne P, Douglas WH Cumulative effects of successive restorative procedures on anterior crowns flexure: intact versus veneered incisors. Quintessence Int. 2000; 31:5-18
Stokes AN, Hood JAA Impact fracture characteristics of intact and crowned human central incisors. J Oral Rehab. 1993; 20:89-95
Edelhoff D, Sorensen JA Tooth structure removal associated with various preparation designs for posterior teeth. Int J Perio Rest Dent. 2002; 22:241-249
Edelhoff D, Sorensen JA Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002; 87:503-509
Porcelain versus composite inlays/onlays: effects of mechanical loads on stress distribution, adhesion and crown flexure. Int J Perio Rest Dent. 2003; 23:543-555
Edelhoff D, Guth JF, Erdelt K Clinical performance of occlusal onlays made of lithium disilicate ceramic in patients with severe tooth wear up to 11 years. Dent Mater. 2019; 35:1319-1330
Buonocore MG A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. J Dent Res. 1955; 34:849-853
Van Meerbeck B, Yoshihara K, Landuyt KV From Buonocore's pioneering acid-etch technique to self-adhering restorations. A status perspective of rapidly advancing dental adhesive technology. J Adhes Dent. 2020; 22:7-34
Nakabayashi N, Kojilma K, Masuhara E The promotion of adhesion by the infiltration of monomers into tooth substrates. J Biomed Mater Res. 1982; 16:265-273
Magne P Immediate dentine sealing: a fundamental procedure for indirect bonded restorations. J Esthet Rest Dent. 2005; 17:144-154
Goulart M, Veleda B, Damin D Preheated composite resin used as a luting agent for indirect restorations: effects on bond strength and resin–dentin interfaces. Int J Esthet Dent. 2018; 13:86-97
Poskus LT, Meirelles RS, Schuina VB Effects of different surface treatments on bond strength of an indirect composite to bovine dentin. Indian J Dent Res. 2015; 26:289-294
Vailati F, Gruetter L, Belser UC Adhesively restored anterior maxillary dentitions affected by severe erosion: up to 6-year results of a prospective clinical study. Eur J Esthet Dent. 2013; 8:506-530
Attin T, Filli T, Imfeld C, Schmidlin PR Composite vertical bite reconstructions in eroded dentitions after 5.5 years: a case series. J Oral Rehab. 2012; 39:73-79
Conrad HJ, Seong WJ, Pesun IJ Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent. 2007; 98:389-404
Schlichting LH, Maia HP, Baratieri LN, Magne P Novel-design ultra-thin CAD/CAM composite resin and ceramic occlusal veneers for the treatment of severe dental erosion. J Prosthet Dent. 2011; 105:217-226
Fradeani M, Barducci G, Bacherini L Esthetic rehabilitation of a worn dentition with a minimally invasive prosthetic procedure (MIPP). Int J Esthet Dent. 2016; 11:16-35
Vailati F, Carciofo S CAD/CAM monolithic restorations and full mouth adhesive rehabilitation to restore a patient with a past history of bulimia: the modified three-step technique. Int J Esthet Dent. 2016; 11:36-56
Spitznagel FA, Horvath SD, Guess PC, Blatz MB Resin bond to indirect composite and new ceramic/polymer materials: a review of the literature. J Esthet Restor Dent. 2014; 26:382-393
Reymus M, Roos M, Eichberger M Bonding to new CAD/CAM resin composites: influence of air abrasion and conditioning agents as pretreatment strategy. Clin Oral Investig. 2019; 23:529-538
Emsermann I, Eggmann F, Krastl G Influence of pretreatment methods on the adhesion of composite and polymer infiltrated ceramic CAD-CAM blocks. J Adhes Dent. 2019; 21:433-443
Significant changes in prosthodontic considerations, with a movement away from traditional restorations and an emphasis on preservation of tooth structure, have led to the development of the concept of biomimetics in restorative dentistry. The idea of being able to design restorations, which are able to restore accurately the biomechanical, structural and aesthetic integrity of the biomechanically weakened tooth, has been embraced and adopted by clinicians globally. By combining key prosthodontic principles relating to occlusal design and the control of forces on teeth and restorations, together with minimally invasive adhesive dentistry, we are able to predictably restore the function and aesthetics of damaged dentitions without the need for aggressive tooth structure removal. Advances in dental materials science allowing minimal preparations and restorations that are strong and durable in thin section, as well as advances in adhesive dentistry have meant that the biomimetic restoration of teeth is no longer a novel concept, but something that we should all be applying as conservative and restorative dentists.
CPD/Clinical Relevance: This paper describes the rationale and clinical protocols involved in the application of biomimetic restorative dentistry.
Article
The concept of biomimetics was defined by Dr Harold Slavkin in 1996 as ‘the study of biological structures and their functions, providing a strategy to develop synthetic pathways to mimic biological processes'1 essentially, striving to mimic nature. For us as dentists, the model that we aim to recreate is the natural tooth.
The concept of patients being able to regenerate their own body parts would be the ideal. Much research in the field of tissue engineering has been focused on methods to be able to ‘grow’ a natural tooth within the oral environment using the patients’ own cells. However, this is far from being applicable to daily restorative dental practice.
So, what can we do today with the materials and techniques we have available to us right now? Pascal Magne and his team have extrapolated the biomimetic principle into the field of restorative dentistry. They advocate designing a restoration to restore the specific biomechanical, structural and aesthetic properties of the natural tooth.2
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