Minimally Invasive Prosthodontics & Dental Restorations

Διάβρωση δοντιών πριν την Προσθετική Ελάχιστης Παρέμβασης-DentArtistry

Θεραπεία διάβρωσης δοντιών μετά την Προσθετική Ελάχιστης Παρέμβασης-DentArtistry

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Minimal Invasive Prosthodontics

Minimal invasive prosthodontics is a modern restorative philosophy used for teeth that have suffered wear or loss of tooth structure, with the primary goal of preserving as much healthy tooth tissue as possible.
Instead of extensive tooth reduction, advanced techniques and materials are used to restore function and aesthetics while respecting the biology of the teeth.

When Is Minimal Invasive Prosthodontics Applied?

Minimal invasive prosthodontics is applied when teeth have already experienced wear or loss of tooth structure and require restoration without extensive preparation.

It is commonly applied in cases of attrition, erosion, or fractured teeth.In these situations, the objective is to reinforce and restore the teeth without removing additional healthy tooth structure.

The Philosophy of Minimal Intervention

The core principle of minimal intvasive prosthodontics is the preservation of as much healthy tooth structure as possible.
Prosthetic solutions are selected based on replacing lost tooth structure rather than removing additional tissue.
In this way, teeth remain stronger over time, and restorations are more biologically friendly.

Types of Restorations Used

Minimal invasive prosthodontics typically involves all-ceramic restorations, such as porcelain veneers and inlays/onlays.
These restorations are adhesively bonded to the teeth, providing high strength and a natural aesthetic result.

Treatment Planning

Treatment planning begins with a detailed clinical examination and assessment of the teeth and the bite.
Based on the findings, it is determined which teeth can be restored using a minimally invasive approach and which may require a different treatment strategy.

Benefits for the Patient

Minimal intervention prosthodontics offers natural-looking results, better preservation of the teeth, and reduced biological stress on the mouth.
Because less tooth structure is removed, the teeth retain their strength and structural integrity over the long term.
At the same time, treatment is more conservative and contributes to long-term oral health.

A Conservative and Long-Term Approach

The minimally invasive approach to prosthodontics is based on the principle that each tooth should be modified only to the extent that is absolutely necessary.
Modern materials provide prosthetic restorations with high durability, precise fit, and excellent integration into the smile.
The goal is not merely to restore the appearance of the teeth, but to create a stable, long-lasting solution that respects oral physiology and the individual needs of each patient.

With Minimal Intervention Prosthodontics, we:

preserve natural tooth structure
increase the long-term strength and durability of your teeth
create beautiful new teeth that harmonize with your facial features

BEFORE AND AFTER

Cases treated in our clinic, with Minimal Invasive Prosthodontics.
Proceed with the arrow to the right for more photos of each case.

After

We used porcelain veneers on the anterior teeth and οnlays on the posterior teeth to restore the morphology and function of the teeth.

The teeth were minimally prepared and the existing tooth substance was preserved without additional wear.

Διάβρωση και αποτριβή δοντιών, μετά την θεραπεία με Προσθετική Ελάχιστης Παρέμβασης

Before

The patient in the photo was experiencing significant tooth erosion and wear.

Her teeth were sensitive to hot and cold, and her smile had lost its youthful appearance.

She wished to enhance the aesthetics and shape of her teeth without further grinding, as they had already suffered considerable damage.

After

The front teeth were restored with porcelain veneers, while porcelain onlays were placed on the posterior teeth.

In addition to porcelain veneers, resin veneers were placed on the maxillary anterior teeth on their palatal side.

The canines have been given the morphology and colour of the lateral insicor.

The healthy dental substance is preserved and protected between 2 restorations (sandwich technique).

Before

The teeth, before the treatment, had lost dental substance and were sensitive.

The patient had undergone orthodontic treatment at a young age.

The congenitally missing lateral incisors had been treated by transferring the canines to the position of the lateral incisors.

The canines were aesthetically disturbing to her and needed to be improved in both shape and color.

Διάβρωση και αποτριβή δοντιών, μετά την θεραπεία με Προσθετική Ελάχιστης Παρέμβασης / DentArtistry

Erosion and abrasion of teeth and restoration with Minimal Invasive Prosthodontics

After

The patient’s smile after treatment with Minimal Invasive Prosthodontics.

We gave the teeth the shape the patient wanted, similar to the shape of her teeth before treatment.

Before

The patient was experiencing tooth erosion. The teeth had significant loss of structure and were very sensitive.

She wanted to restore her teeth without grinding them further.

She was a suitable candidate for treatment with Minimal Invasive Prosthodontics.

After

For the anterior teeth we made double restorations.

A composite restoration was placed on the palatal surface of the anterior teeth and a porcelain veneer was placed on the anterior surface of the teeth.

Only porcelain veneers were placed on the mandibular anterior teeth.

Porcelain overlays were placed on the posterior teeth.

Before

The natural teeth before the treatment, had lost a significant amount of their enamel and were sensitive.

The patient, did not feel comfortable smiling because of the appearance of her teeth.

At the same time, the height of the lower third of the face had decreased due to loss of tooth structure.

Μασητική άποψη δοντιών άνω γνάθου με διάβρωση μετά την αποκατάσταση με Προσθετική Ελάχιστης Παρέμβασης-DentArtistry

Μασητική άποψη δοντιών κάτω γνάθου με διάβρωση μετά την αποκατάσταση με Προσθετική Ελάχιστης Παρέμβασης-DentArtistry

Erosion of teeth and restoration with Minimal Invasive Prosthodontics

After

The rehabilitation was done on all teeth.

The vertical dimension of occlusion was increased, and the teeth were restored to the correct size.

Many stages are involved until we find the size and shape of the teeth that is right and pleasing to the patient.

Before

Significant tooth erosion in a 25-year-old patient.

The erosion was generalized, involving both anterior and posterior teeth.

The teeth need to be protected, not only because they are sensitive but also to preserve the remaining tooth substance.

After

Porcelain overlays are placed on the posterior teeth to preserve the remaining dental substance, to protect the teeth from thermal stimuli and to give the correct vertical dimension to the face.

Αποκατάσταση οπίσθιων δόντιων με διάβρωση με κεραμικά επένθετα

Before

Teeth in the back of the mouth had significant erosion.

Typically, previous fillings were protruding from the surface of the tooth.

The enamel was eroded and the teeth were sensitive.

The erosion had affected all the teeth and resulted in a reduction in the height of the lower face.

Erosion of teeth and restoration with Minimal Invasive Prosthodontics

After

The prosthetic rehabilitation is performed on all teeth in the mouth.

In the maxillary teeth, partial coverage crowns and veneers were placed, while in the mandibular teeth, porcelain veneers and crowns were placed on the teeth that already had crowns.

The posterior mandibular teeth were completed with a partial denture (not shown), supported by zirconia crowns.

Χαμόγελο ασθενούς, με Προσθετική ελάχιστης παρέμβασης και συγκολλούμενες ολοκεραμικές προσθετικές εργασίες

Before

The wear of the teeth on the lady in the photo, was due to the lack of posterior teeth.

The patient could not chew because she had no posterior teeth and was forced to use the anterior teeth, which were often broken and worn.

After

The new prostheses are placed on the teeth without additional drilling, increasing the height of the lower part of the face.

Such work also improves the overall facial appearance.

Προσθετική ελάχιστης παρέμβασης σε ασθενή με αποτριβή δοντιών

Before

Tooth wear can also occur when the teeth are subjected to very high forces.

When you cannot chew with the posterior teeth, the anterior teeth wear down and break constantly.

The exposed dentin, picks up color from the mouth and the teeth look darker.

After

Teeth after restoration

Μασητική άποψη ολοκεραμικής προσθετικής εργασίας με ελάχιστη παρέμβαση

Before

Occlusal view of teeth with wear.

After

Mandibular teeth after restoration.

Μασητική άποψη των δοντιών της κάτω γνάθου, με προσθετικές εργασίες χωρίς μέταλλο

Before

Mandibular teeth before treatment

Tooth wear and restoration with Minimal Invasive Prosthodontics

After

All teeth were restored with all-ceramic restorations, following the principles of minimal invasive prosthodontics.

Before

Tooth erosion is caused by the action of acids on the tooth surface.

The patient in the photo had lost a large amount of tooth substance due to erosion.

The bridge at the back of her mouth remained intact because it was not affected by the acids.

After

Occlusal view of teeth after restoration.

Προσθετική ελάχιστης παρέμβασης, σε ασθενή με διάβρωση δοντιών/ DentArtistry

Before

Occlusal view of natural teeth before treatment

After

Occlusal view of maxillary teeth after restoration

Before

Occlusal view of maxillary teeth before treatment

After

After treatment

Ολική Στοματική Αποκατάσταση με Προσθετική Ελάχιστης Παρέμβασης

Before

Teeth erosion and treatment with Minimal Invasive Prosthodontics

Questions

What Does “Minimally Invasive” Mean?
Minimally invasive prosthodontics means that tooth preparation is kept to the absolute minimum.
Since tooth wear or loss of tooth structure has already occurred, the restorations are designed to adapt to the existing tooth structure. This type of prosthetic treatment replaces only the portion of the tooth that has been lost, restoring proper shape and color without unnecessary additional tooth reduction.
The restorations most commonly used in minimally invasive prosthodontics are porcelain veneers for the front teeth and ceramic inlays/onlays for the back teeth.
Am I a Suitable Candidate for Minimally Invasive Prosthodontics?
If you wish to improve your teeth but are concerned about extensive tooth reduction, minimally invasive prosthodontics may be an appropriate approach for you.
It can be applied to natural teeth that have experienced significant loss of tooth structure. If your teeth have become shorter, changed color, or lost their original shape, you are likely a suitable candidate.
In addition to restoring tooth morphology and size, this approach also improves tooth color and enhances the overall appearance of your smile.
If your teeth have already been prepared in the past—such as teeth with existing crowns or bridges—we can replace old restorations, but we cannot restore tooth structure that has already been removed.
I Only Want to Restore My Front Teeth. Is That Possible?
If tooth wear is limited to the front teeth, it is possible to restore only those teeth.
However, in many cases, tooth wear affects all teeth. In such situations, restorations may be placed on all teeth—not only because they require treatment, but also to create the necessary space for restorations on the front teeth without further tooth reduction.
At the same time, this approach allows correction of reduced lower facial height and restoration of the natural facial proportions that may have been lost over time.
Can I Know What My Teeth Will Look Like at the End of Treatment?
Your new smile is digitally designed, allowing us to visualize the final result before treatment begins.
The digital design is transferred to the mouth and tested before any tooth preparation starts, and it can be modified based on the outcome of this trial. Digital smile design also ensures that the restorations are harmonized with your individual facial features.
How Is It Ensured That My Teeth Will Not Be Over-Prepared?
Teeth are prepared only to the extent necessary to achieve the planned and approved result.
Any minimal preparation that may be required is performed solely to ensure the strength, durability, and longevity of the materials used.
What Materials Are Used for the New Teeth?
The restorations are typically fabricated from high-strength all-ceramic materials that are adhesively bonded to the teeth using specialized techniques.
Lithium disilicate is used for porcelain veneers and ceramic inlays/onlays. If crowns or bridges are already present, they can be replaced with new restorations made from zirconia.
What Are the More Affordable Alternative Options?
Minimally invasive prosthodontics in cases of extensive tooth wear often involves restoring multiple teeth, which can increase the overall cost.
As an alternative, more affordable materials such as composite resin can be used to restore proper tooth shape and size, significantly reducing cost.
Composite resin does not offer the same longevity or aesthetic qualities as all-ceramic materials, but it can be a suitable solution when financial considerations are important.