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Título
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Clinical and Biomechanical Performance of Occlusal Veneers: A Scoping Review
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Description
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Objetivo: Este manuscrito tiene como objetivo evaluar, a través de una revisión del alcance, el conocimiento actual del comportamiento biomecánico, los materiales, las preparaciones y las limitaciones de las carillas oclusales. Antecedentes: Las carillas oclusales son una alternativa mínimamente invasiva para la restauración aditiva de dientes posteriores con pérdida significativa de la estructura oclusal. Este tipo de restauración ha surgido en los últimos años como una alternativa al tratamiento invasivo, que de igual manera busca restaurar la estructura de los dientes posteriores. Todo esto se debe a que en los últimos años la odontología restauradora ha centrado gran parte de sus objetivos en las terapias conservadoras. Resultados de la revisión: se realizaron búsquedas en cinco bases de datos electrónicas: PubMed, Cochrane, LILACS, EMBASE y Google Scholar. Tres revisores examinaron de forma independiente el título y los resúmenes, seguidos de una revisión del texto completo. Un total de 42 artículos cumplieron con nuestros criterios de inclusión; la mayoría de estos estudios fueron in vitro (n = 35) y otros estudios fueron estudios clínicos (n = 7). Estos estudios in vitro incluyeron 21 estudios que analizaron el tipo de preparación y 6 estudios que evaluaron las limitaciones de las carillas oclusales. Conclusión: Se recomiendan espesores entre 0,7 y 1,0 mm para materiales cerámicos; además, se recomiendan espesores inferiores a 0,7 mm para utilizar materiales poliméricos. Los materiales utilizados para este tipo de restauración son materiales a base de plástico y cerámica, cuyos valores de resistencia a la carga se encontraron superiores a 2000 N en la mayoría de los estudios. Se recomienda realizar una preparación mínimamente invasiva o no realizar una preparación dental, siempre que exista un esmalte periférico para realizar un bisel externo que redirija las fuerzas excéntricas al eje del diente. Importancia clínica: la odontología restauradora se ha movido hacia tratamientos conservadores en los que se extrae la menor cantidad de tejido dental. Las carillas oclusales parecen ser una opción conservadora en la reconstrucción de tejidos dentarios perdidos por desgaste dentario y en los casos en que sea necesario restaurar o aumentar la dimensión vertical.
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Relation
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Grupo de Ciencias Odontológicas Unicoc
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Creator
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Ladino, Luis Gabriel
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Sanjuan, Martin Eduardo
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Valdéz, Darell Josué
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Eslava, Rosa Angélica
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Mediator
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Centro de Investigación Colegio Odontológico - CICO
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Date Issued
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2021
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Abstract
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Aim: This manuscript aims to evaluate, through a scoping review, current knowledge of the biomechanical behavior, materials, preparations, and limitations of occlusal veneers. Background: Occlusal veneers are a minimally invasive alternative for the additive restoration of posterior teeth with significant loss of the occlusal structure. This type of restoration has been emerged in recent years as an alternative to invasive treatment, which in the same way seeks to restore the structure of the posterior teeth. All this is because in recent years restorative dentistry has focused a large part of its objectives on conservative therapies. Review results: Five electronic databases—PubMed, Cochrane, LILACS, EMBASE, and Google Scholar—were searched. Title and abstracts were independently screened by three reviewers, followed by a full-text review. A total of 42 articles met our inclusion criteria; most of these studies were in vitro (n = 35) and other studies were clinical studies (n = 7). These in vitro studies included 21 studies that analyzed the type of preparation and 6 studies that evaluated the limitations of occlusal veneers. Conclusion: Thicknesses between 0.7 and 1.0 mm are recommended for ceramic materials; in addition, thicknesses less than 0.7 mm are recommended to use polymeric materials. The materials used for this type of restoration are plastic- and ceramic-based materials, whose load resistance values were found to exceed 2000 N in most studies. It is recommended to carry out a minimally invasive preparation or not to carry out a dental preparation, as long as there is a peripheral enamel to make an external bevel that redirects the eccentric forces to the axis of the tooth. Clinical significance: Restorative dentistry has moved toward conservative treatments with the least amount of dental tissue being removed. Occlusal veneers appear to be a conservative option in the reconstruction of tooth tissues lost due to tooth wear and in cases where it is necessary to restore or increase the vertical dimension.
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Extent
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11 pp.
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Format
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application/pdf
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issn
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1526-3711
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Lenguaje
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Inglés
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Publisher
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Jaypee Brothers Medical Publishers
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page end
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1337
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issue
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No. 11
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page start
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1328
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Fuente
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The Journal of Contemporary Dental Practice
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Repositorio Institucional Unicoc - RI-Unicoc
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volume
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Vol. 22
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Is Part Of
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The Journal of Contemporary Dental Practice, ISSN: 1526-3711, Vol. 22, No. 11 (2021) pp 128-1337
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Access Rights
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openAccess
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Bibliographic Citation
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primary topic
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Research Subject Categories::ODONTOLOGY::Periodontology
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Subject
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CAD/CAM
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Dental ceramics
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Fracture resistance
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Occlusal veneers
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Tooth wear
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CAD/CAM
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Cerámica dental
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Resistencia a la fractura
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Carillas oclusales
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Aparatos dentales
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Alternative Title
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Desempeño clínico y biomecánico de carillas oclusales: una revisión de alcance
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Tipo
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Artículo
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current project
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Grupo de Ciencias Odontológicas Unicoc
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number of pages
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11 pp.
