1 Overview
1.1 Development and Requirements of Micro Dentistry
1.1.1 Different Levels of Visual Basis Bring Different Levels of Recognition
1.1.2 Development of Micro Dentistry
1.2 Application of Dental Microscope in Dental Specialties
1.2.1 Accuracy of Measurement Required by Each Dental Specialty Is Not the Same, and that of Endodontics and Prosthodontics Is Relatively Small
1.2.2 The Application of Microscope in Endodontics
1.2.3 The Application of Microscope in Periodonticsand Dental Implantology
1.2.4 The Application of Microscope in Prosthodontics
1.2.5 The Application of Microscope in Dental Technology
1.2.6 The Application of Microscope in Teaching,Scientific Research, and Clinical Skill Training
1.3 Development and Advantages of Micro Prosthodontics
1.3.1 In the Naked-Eye Age, the Complications of RestorationAre Mostly Related to Unclear Vision
1.3.2 Reasons Why We Need Micro Prosthodontics
1.3.3 The Relationship Between Digital Micro Prosthodonticsand Minimally Invasive Dentistry
Suggested Readings
Part Ⅰ Analysis, Design and Preclinical Preparation of Micro Prosthodontics
2 Theory and Practice of Target Restorative Space (TRS)
2.1 Definition and Classification of Target Restorative Space (TRS)
2.1.1 Definition
2.1.2 Classification
2.2 The Significance of Target Restorative Space (TRS) in Prosthodontics
2.2.1 The Significance of TRS in Aesthetic Restoration
2.2.2 The Significance of TRS in Implant Surgery
2.3 Classification and Manufacturing of TRS Guide
2.3.1 Classification of TRS Guides
2.3.2 Transparent Dental Membrane TRS Guide
2.3.3 3D Printing TRS Guide
2.3.4 Two-in-One TRS Guide for Tooth Preparation and Implantation
2.4 Application of Target Restorative Space (TRS) Guide in Preoperative Analysis and Design
2.4.1 Application of TRS Guide in Aesthetic Restorationof Anterior Teeth
2.4.2 Application of TRS Guide in Functional Reconstructionof Oral and Maxillofacial System
2.4.3 Application of TRS Guide in Secondary Restoration
2.4.4 Application of TRS Guide in Dental Implant
2.5 Summary and Prospect
Suggested Readings
3 Microscope and Auxiliary Devices for Micro Prosthodontics
3.1 The Basic Structure and Working Principle of Dental Microscope
3.1.1 Definition of Dental Microscopes
3.1.2 Classification of Dental Microscopes
3.1.3 Basic Structures of Dental Operating Microscope
3.2 Auxiliary Devices for Micro Prosthodontics
3.2.1 Ring Flash/Twin Flash Device Around the Objective Lens
3.2.2 Lingual/Palatal Reflector and Its Holder
3.2.3 Variable Diaphragm
3.2.4 Enamel Chisel
3.3 The Basic Set-Up and Instructions of Dental Operating Microscope
3.3.1 Set-Up and Precautions of Dental Operating Microscope
3.3.2 Basic Adjustment of Dental Operating Microscope
3.4 Summary and Prospect
Suggested Readings
4 Posture and Microscopic View of Prosthodontic Microsurgery
4.1 Dental Microsurgery Technique and Ergonomics
4.1.1 Definition of Ergonomics
4.1.2 The Connection Between Dental Microsurgery Technique and Ergonomics
4.1.3 Ergonomic Recommendations
4.2 Postures of Dental Microsurgery
4.2.1 Ergonomic Posture of Dental Microsurgery
4.3 Microscopic View of Each Tooth
4.3.1 Microscopic View of Maxillary Anterior Teeth
4.3.2 Microscopic View of Maxillary Posterior Teeth
4.3.3 Microscopic View of the Mandibular Anterior Teeth
4.3.4 Microscopic View of the Mandibular Posterior Teeth
4.4 Thoughts and Comments Regarding the Practice of Micro Prosthodontics
4.4.1 Using a Microscope Can Prolong the Career Longevity of Dentists and Improve Clinical Results
4.4.2 Microscopy Does Not Mean Minimal Invasiveness
4.4.3 Application of Dental Microscope in Prosthodontics Teaching
4.4.4 “Five Difficulties” in the Practice and Teaching of Microscopic Prosthodontics
4.4.5 Consensus Should Be Achieved on MicroscopicProsthodontic Teaching
4.5 Summary and Prospect
Suggested Readings
Part Ⅱ Sequential and Key Clinical Techniques for Digital Micro Prosthodontics
5 Pain Management and Comfortable Treatment in Micro Prosthodontics
5.1 Local Anesthetics and Local Anesthesia Methods
5.1.1 How to Choose Local Anesthetics
5.1.2 How to Choose Local Anesthesia Method
5.1.3 How to Calculate Drug Dosage
5.1.4 Sedation
5.2 Clinical Operation Procedure
5.2.1 Evaluation and Preparation Before Anesthesia
5.2.2 Implementation of Anesthesia
5.2.3 Complications
5.3 Pain Control of Tooth Preparation
5.3.1 Principles and Mechanisms
5.3.2 Pain Control During and After Tooth Preparation
5.4 Pain Control of Dental Implantation
5.4.1 Principles and Mechanisms
5.4.2 Reasons for Pain after Dental Implantation
5.4.3 Pain Control After Dental Implantation
5.5 Summary and Prospect
Suggested Readings
6 Isolation of the Operative Field in Micro Prosthodontics: Practical Rubber Dam Technology
6.1 Rubber Dam and Accessories
6.1.1 Composition of Rubber Dam Kit
6.2 Basic Technology of Rubber Dam
6.2.1 Placement of Rubber Dam
6.2.2 Reminder for Rubber Dam Placement
6.3 Use of Rubber Dam in Special Situations
6.3.1 Gingival Sulcus Fluid or Saliva Microleakage
6.3.2 Large Defect of the Tooth or Poor Retention of the Crown
6.3.3 Isolation of PFM and Ceramic Crown
6.3.4 Isolation of Fixed Bridge Restoration
6.3.5 Tooth Neck Defect
6.3.6 Patients in Poor General Condition and Elderly Patients
6.4 Summary and Prospect
Suggested Readings
7 Introduction to Digital Micro Tooth Preparation Technology
7.1 Control of Tooth Preparation Amount
7.1.1 Biological Factor
7.1.2 Biochemical Factor
7.1.3 Esthetic and Functional Factor of Prosthesis
7.2 Control of the Preparation Shape
7.2.1 Requirements for the Shape of the Axial Surface of the Preparation
7.2.2 The Control of the Position and Shape of the Preparation's Margin
7.3 Instrument Selection for Tooth Preparation
7.3.1 Types and Selection of Cutting Bur for Tooth Preparation
7.3.2 Types and Selection of Dental Handpiece and Motors
7.4 Application of TRS Guide in Tooth Preparation
7.4.1 Classification According to the Purpose of Use
7.4.2 Classification According to Manufacturing Technology
7.5 Classification and Characteristics of the Existing Micro Tooth Preparation Techniques
7.5.1 Micro Groove Reference Tooth Preparation Technique
7.5.2 Micro Hole Reference Tooth Preparation Technique
7.6 Clinical Workflow and Preparation Method of High-Precision Margin
7.6.1 Three Determinations
7.6.2 Three Choices
7.6.3 Three Steps
7.7 Summary and Prospect
Suggested Readings
8 Digital Impression Technology
8.1 Classification and Characteristics of Digital Impression
8.1.1 Classification of Digital Impression
8.1.2 Characteristics of Digital Impression
8.2 Operation Procedure of Digital Intraoral Scanning System
8.2.1 Installation of Digital Intraoral Scanning System
8.2.2 Introduction to Home Page of Intraoral Scanning Software
8.2.3 Case Management in Intraoral Scanning Software
8.2.4 Scanning Scheme and Scan and Image in Intraoral Scanning Software
8.2.5 Processing of Digital Intraoral Scanning Model
8.2.6 Storage and Export of Digital Intraoral Scanning Data
8.3 Common Problems and Solutions of Digital Impression
8.3.1 Common Problems and Solutions About Hardware
8.3.2 Common Problems and Solutions About Software
8.4 Summary and Prospect
Suggested Readings
9 Digital Depth-Hole-Guiding Micro Tooth Preparation for Porcelain Veneer
9.1 Overview and Indications of Porcelain Veneer
9.1.1 The Indications of Porcelain Veneer
9.1.2 The Characteristics of Porcelain Veneer
9.1.3 Materials of Porcelain Veneer
9.1.4 Types of Porcelain Veneer
9.2 Design of Targeted Restorative Space (TRS) and Porcelain Veneer Preparation
9.2.1 TRS Design of Porcelain Veneer
9.2.2 Preparation Design of Porcelain Veneer
9.3 The Clinical Protocol of Micro Tooth Preparation with Digital Guide for Porcelain Veneer
9.3.1 Veneer Preparation Using the Silicone Rubber Guide
9.3.2 Veneer Preparation Using the Transparent Vacuum-Formed TRS Guide
9.3.3 Veneer Preparation Using 3D Printing TRS Guide
9.3.4 Finishing and Polishing
9.4 Gingival Retraction Technique Under a Microscope
9.4.1 Microscope Field of View for Gingival Retraction
9.4.2 The Procedure of Gingival Retraction Under a Microscope
9.5 Impression Making and Provisional Restoration
9.5.1 Impression Making
9.5.2 Provisional Restoration
9.6 Overview and Indications of Partial Porcelain Veneers
9.6.1 Indications and Contraindications of Partial Porcelain Veneer
9.6.2 Materials for Partial Porcelain Veneer
9.6.3 TRS Design for Partial Porcelain Veneer
9.6.4 Preparation Requirements for Partial Porcelain Veneer
9.6.5 Preparations for Tooth Preparation of Partial Porcelain Veneer
9.6.6 Preparation of Various Types of Dental Veneers
9.7 Summary and Prospect
Suggested Readings
10 Digital Micro Tooth Preparation for Posterior Indirect Adhesive Restorations
10.1 Overview of Posterior Indirect Adhesive Restorations
10.1.1 The Advantages and Disadvantages of PIAR
10.1.2 Material Selection for PIAR
10.1.3 Types of PIAR
10.2 Preparation Design of Posterior Indirect Adhesive Restoration
10.2.1 The Amount of Preparation
10.2.2 The Principle of Posterior Indirect Adhesive Restoration Preparation
10.3 Micro Preparation Protocol for Posterior Indirect Adhesive Restorations
10.3.1 Basic Principles of PIAR Preparation
10.3.2 Preparation Before Tooth Preparation
10.3.3 Preparation Process of Micro Preparation Guided by TRS Guide
10.3.4 Preparation for Single-Surface PIAR
10.3.5 Preparation for MO/DO PIAR
10.4 Summary and Prospect
Suggested Readings
11 Digital Depth-Hole-Guiding Micro Preparation for All-Ceramic Crown
11.1 Overview and Indications of All-CeramicCrown
11.1.1 Indications of All-Ceramic Crown
11.1.2 Contraindications of All-Ceramic Crown
11.2 Classification of All-Ceramic Material
11.2.1 Slip-Casting Ceramic
11.2.2 Castable Glass Ceramic
11.2.3 Pressed Castable Ceramic
11.2.4 Infiltrated Ceramic
11.2.5 Machinable Ceramic
11.2.6 Zirconia Ceramic or Zirconia-Toughened Ceramic
11.2.7 Nanocomposite Ceramic
11.2.8 Ceramic-Resin Composite
11.3 The Clinical Protocol of Digital Depth-Hole-GuidingMicro Tooth Preparation for All-Ceramic Crown
11.3.1 Analysis and Design Phase
11.3.2 Micro Tooth Preparation of Anterior Teeth Under the Guidance of the Transparent Vacuum-Formed TRS Guide
11.3.3 Micro Tooth Preparation of Anterior Teeth Under the Guidance of the 3D Printing TRS Guideof Non-uniform Thicknesses
11.3.4 Impression and Temporary Restoration
11.4 Summary and Prospect
Suggested Readings
12 Immediate Dentin Sealing and Micro Bonding
12.1 Overview and Mechanism of Adhesion
12.1.1 Concept of Adhesive
12.1.2 Mechanism of Adhesion
12.1.3 Type of Adhesives
12.1.4 Bonding of Enamel
12.1.5 Bonding of Dentin
12.1.6 Immediate Dentin Sealing (IDS)
12.1.7 The Treatments of the Ceramic Prosthesis
12.1.8 Cementing of Temporary Restorations
12.2 Micro Bonding Process of Zirconia- and Glass-Based Ceramics
12.2.1 Characteristics of Bonding of Different Restorative Materials
12.2.2 Surface Conditioning of Different Restorative Materials
12.2.3 Surface Conditioning of the Preparation (Abutment Tooth) Which Is to Be Repairedwith Different Restorative Materials
12.3 Micro Bonding Process of Porcelain Veneer
12.3.1 Selection of Adhesive Resin
12.3.2 Try-In and Preparation
12.3.3 Surface Conditioning of the Tooth
12.3.4 Surface Conditioning of the Porcelain Veneer
12.3.5 Placement
12.3.6 Occlusal Check and Adjustment
12.4 Micro Bonding Process of All-Ceramic Crown
12.4.1 Selection of Adhesive
12.4.2 Try-In and Preparation
12.4.3 Occlusal Check and Adjustment
12.4.4 Surface Conditioning of the Tooth Surface
12.4.5 Surface Conditioning of the All-Ceramic Crown
12.4.6 Placement
12.5 Summary and Prospect
Suggested Readings
Part Ⅲ Complications and Treatment After Micro-prosthodontics
13 Complications and Treatment After Micro Prosthodontics
13.1 Routine Maintenance
13.1.1 Brush Teeth and Use Dental Floss Correctly
13.1.2 Receive Regular Scaling and Treatment in Time If There Is Any Problem
13.1.3 Apply Fluoride and Prevent Secondary Caries
13.2 Complications and Treatment
13.2.1 Chipping Fracture of Porcelain
13.2.2 Porcelain Cracking
13.2.3 Debonding of Prosthesis
13.2.4 Dental Allergy
13.2.5 Abutment Fracture
13.2.6 Discoloration at the Margin of the Prosthesis
13.2.7 Dental Pulp Devitalization and Secondary Caries
13.3 Summary and Prospect
Suggested Readings
Part Ⅳ Clinical Rehabilitation of Secondary Aesthetic Porcelain Restoration
14 Decisions on Clinical Rehabilitation of Secondary Aesthetic Porcelain Restoration
14.1 Possible Complications of Secondary Aesthetic Porcelain Restoration
14.1.1 Hypersensitivity of Abutment Teeth
14.1.2 Spontaneous Pain of Abutment Teeth
14.1.3 Loosening, Cracking and Discolouration of Abutment Teeth
14.1.4 Occurrence of Exacerbation of Periodontal Disease
14.1.5 Discolouration of Restoration
14.1.6 Loosening and Falling Off of Restoration
14.1.7 Cracking, Breaking and Perforation of Restoration
14.1.8 Dysfunction and Psychological Problems
14.2 Clinical Decision Tree of Secondary Aesthetic Porcelain Restoration Guided by TRS Guide
14.2.1 Psychological Evaluation
14.2.2 Previous Treatment Evaluation
14.2.3 Prosthodontic Decision After Removing the Old Restoration
14.3 Typical Cases of Secondary Porcelain Aesthetic Repair and Retreatment
14.3.1 Secondary Aesthetic Porcelain Restorations in the Anterior Area
14.4 Summary and Prospect
Suggested Readings
15 Occlusal Reconstruction Under the Guidance of Target Restorative Space
15.1 Comprehensive Assessment Before Occlusal Reconstruction
15.1.1 Clinical Consultation and Risk Assessment
15.1.2 Examination of the Oral and Maxillofacial System
15.1.3 Radiographic Examination
15.1.4 Mounting of Diagnosis Casts onto the Articulator
15.2 Typical Cases of Occlusion Reconstruction Aided by the TRS Guide
15.2.1 A Case of Secondary Aesthetic and Functional Porcelain Restoration of Maxillae and Mandible Aided by TRS Guide
15.2.2 A Case of Secondary Aesthetic Porcelain Restoration of Maxillae and Mandible Aided by TRS Guide
15.2.3 A Case of Occlusal Reconstruction Restored by Implant-Supported Fixed Prosthesis with the Aid of Whole-ProcessDigital Guidance
15.3 Clinical Application of Occlusion Adjusting Guidein Occlusal Reconstruction
15.3.1 Digital Clinical Workflow of Occlusion Reconstructionfor Cases with Insufficient Occlusal Space
15.3.2 A Clinical Case of Designing Occlusion Adjusting Guide
15.4 Summary and Prospect
Suggested Readings
16 Cases of Digital Micro Prosthodontics Guided by Target Restorative Space
16.1 Typical Cases of Digital Micro Restoration Guided by Wax-Up Surface
16.1.1 A Case of Crown Lengthening Combining with Porcelain Veneer Restoration of Maxillary Anterior Tooth Guided by Mock-Up Surface
16.2 Typical Cases of Digital Micro Restoration Guided by Silicone Index
16.2.1 A Case of All-Ceramic Crown of Maxillary AnteriorTooth with ETRS Guided by Silicone Index
16.3 Typical Cases of Digital Micro Restoration Aided by Transparent Dental Membrane TRS Guide
16.3.1 A Case of Digital Micro Restoration of Traumatic Maxillary Anterior Tooth with Ceramic Veneer Aided by Transparent Dental Membrane TRS Guide
16.3.2 A Case of Porcelain Inlay Restoration of Elongated and Rotated Maxillary Anterior Teeth Aidedby Transparent Dental Membrane TRS Guide
16.3.3 A Case of Porcelain Inlay Restoration of Defected Upper Anterior Teeth Aided by Transparent Dental Membrane TRS Guide
16.3.4 A Case of Porcelain Veneer Restoration of Maxillary and Mandibular Tetracycline Teeth Aided by Transparent Dental Membrane TRS Guide
16.4 Typical Cases of Digital Micro Restoration Aided by 3D Printing TRS Guide with Uniform Thickness
16.4.1 A Case of Digital All-Ceramic Restorations of Maxillary and Mandibular Anterior Tooth with Exogenous Severe Erosion and Extensive Caries Aided by 3D Printing TRS Guide with Uniform Thickness
16.5 Typical Cases of Digital Micro Restoration Aided by 3D Printing TRS Guide with Non-uniform Thickness
16.5.1 A Case of Digital All-Ceramic Crown of Maxillary Rotated Anterior Tooth Aided by 3D Printing TRS Guide with Non-uniform Thickness
16.5.2 A Case of Digital All-Ceramic Veneer of Maxillary Anterior Dental Fluorosis Aided by 3D Printing TRS Guide with Non-uniform Thickness
16.5.3 A Case of Immediate Restoration of Prefabricated Crown Aided by 3D Printing TRS Guide with Non-uniform Thickness
16.6 Typical Cases of Digital Micro Restoration Aided by Two-in-One TRS Guide for Implant Surgery and Tooth Preparation
16.6.1 A Case of Digital Micro Restoration Aided by Two-in-One TRS Guide for Implant Surgery and Tooth Preparation
16.7 Summary and Prospect
Suggested Readings