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Article: Volume 43 Number 2 Page 150 - March 2016

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  Dent Update 2016; 43: 150-158

Restorative dentistry:  Indications for Cuspal Coverage

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Abstract: Cuspal-coverage restorations are important to preserve the integrity of a weakened tooth against the forces of occlusion. This article discusses the clinical indications for both direct and indirect cuspal-coverage restorations and the evidence supporting their use. Factors that modify a tooth’s ability to dissipate normal occlusal forces and the effect cuspal-coverage restorations have on force distribution are examined. Clinical criteria, choice of restorative material and methods for tooth preparation are also discussed.

Clinical relevance: Re-enforcement of weakened teeth with cuspal-coverage restorations provides a minimally invasive alternative to conventional crowns.

Author notes: Andrew MacInnes, BDS(Hons), MFDS RCPS, Specialty Registrar in Restorative Dentistry, Glasgow Dental Hospital and Andrew F Hall, BChD(Hons), FDS RCPS, PhD, FDS RCPS(Rest Dent), Senior Lecturer and Honorary Consultant in Restorative Dentistry, University of Dundee, Dundee, UK.

Objective: To understand the common clinical indications for cuspal coverage restorations.