Interrelação dos laminados cerâmicos com a saúde periodontal: uma revisão de literatura

Abstract

Ceramic laminates veneers have been considered a restorative option for smile esthetic corrections. However, when laminate veneers are not performed correctly and with a good planning can harm the patient's periodontal health. Important questions regarding the clinical success of these restorations in the long term might be discussed and defined, such as type of cervical endings, quality and depth of the dental prepares, marginal fit and place, and dental emergency profile. Currently, there is not agreement and definition of the clinical conduct more suitable for the relationship between white and pink health and esthetic interface. The aim of this study was to investigate the influence of marginal characteristics associated with ceramic laminate veneers on the maintenance of periodontal health of restored teeth, through a literature review. Ceramic laminates are characterized by small-thickness restorations made from glass ceramics which can be performed with a standardized conservative wear and ensure a well-defined cervical end of the preparation, or they can be made without any wear on the tooth surface. The balance among conservative tooth preparation, correct insertion axis, quality of the cervical ending and amount of wear is vital to ensure optimal fit of the laminate, maintaining periodontal health and restorative longevity. Finally, ceramic laminate veneers are great option for minimally invasive aesthetic treatments. Their longevity and great relation with periodontal tissues are directly associated to an individualized clinical planning of each case.