Dr. Roberto Spreafico, DM, DMD

Indirect Restorations with Composite: a long-term clinical performance review


Today’s dentist has a wide choice of restorative materials available when replacing missing or damaged tooth structures.
Since the introduction of composite resins in dentistry, those materials have undergone a tremendous development and their adhesive properties on both enamel and dentin have been constantly improved, allowing a more conservative approach during the tooth preparation. Patients’ demands for a more aesthetic and metal-free restoration on posterior and anterior teeth increased during the last decade drawing the interest of the dental profession towards aesthetic restorations with composite resins.

The continuous improvement of the digital CAD-CAM technology is revolutionizing the dental profession in both laboratory and dental offices. Todays chair-side CAD-CAM restorations allow for restoring teeth in a single session saving time for the patient and dentist as well. Numerous type of glass ceramic  and composite blocks are nowadays available;  partial and full crown restorations can be fabricated directly in dental office. However, it is vital that the treating clinician has a thorough understanding of the principles that lead to a successful outcome. A naturally appearing and problem free outcome can be achieved if certain rules are followed by a conscientious operator.

Adhesive Metal-Free Restorations : “current concepts for the aesthetic treatment of posterior teeth.” by Quintessence Publishing Group (1997).

Curriculum Vitae

Dr Roberto Spreafico obtained his DM degree at Turin University, Italy, in 1982. In 1986, he obtained a DMD degree, at Geneva University, Switzerland. He is now a private practitioner, in Busto-Arsizio, near Milan, Italy. He is active member of: Accademia Italiana di Conservativa, European Academy of Esthetic Dentistry.