VONLAYS- Flipside to full coverage crowns for endodontically treated molars-A Case Series

Main Article Content

Pallavi Sinha
Dr Kavita Dube
Shiv Mantri
Bonny Paul
Swati Singh

Keywords

Vonlay, Minimally Invasive Treatment, Restorative Dentistry

Abstract

Indirect restorations that include onlays and veneers have been a certainly accepted treatment modality in the field of restorative dentistry. Porcelain veneers and onlays that are used in anteriors and posteriors respectively have contributed much to the minimal invasive preparation of tooth in contemporary dentistry. Also with advent of latest technologies such as CAD/CAM heat press, the indirect restorations are not only aesthetic but also possess high strength to bear heavy occlusal forces of posterior teeth. Keeping endodontically treated teeth in view a more complex restoration is required when compared to normal tooth restoration, because of extensive caries, losss of pericervical dentin and even the financial condition of the patient .One such design is “Vonlay”. It is a combination of an onlay with an extended buccal veneer surface. This restorative option requires a much less invasive preparation than a full coverage crown but provides the same structural and functional benefits. This paper aims to discuss a series of three cases on Vonlay following endodontic treatment of mandibular molars.

Abstract 251 | pdf Downloads 198

References

1. Nirmala S, G SG, Kumar K N, Chukka RR, Reddy N. Ceramic Onlay: A Case Report. Cureus. 2022 Dec 17;14(12):e32641.
2. Larson TD. 25 years of veneering: what have we learned? Northwest Dent. 2003; 82(4): 35-9.
3. Jiang W, Bo H, Yongchun G, Longxing N. Stress distribution in molars restored with inlays or onlays with or without endodontic treatment: A three- dimensional finite element analysis. J Prosthet Dent. 2010; 103(1): 6-1
4. Della Bonna A, Kelly JR. The clinical success of all-ceramic restorations. J Am Dent Assoc. 2008;139 suppl:8S-13S.
5. Ozyoney G, Yon Koglu F, Tagtekin D, Hayran O. The efficacy of glass-ceramic onlays in the restoration of morphologically compromised and endodontically treated molars. Int J Prosthodont. 2013;26(3):230-234
6. Christensen GJ, Christensen RP. Clinical observations of porcelain veneers: a three-year report. J Esthet Dent. 1991;3(5):174-179.
7. McLaren EA, Figueira J, Goldstein RE. Vonlays: a conservative esthetic alternative to full-coverage crowns. Compend Contin Educ Dent. 2015; 36(4).282, 284, 286- 9.
8. Goldstein R. Etched porcelain restorations: veneers and inlays/onlays. Esthetics in Dentistry. 2nd ed. Vol 1. Hamilton, Ontario, Canada: B.C. Decker Inc.; 1998.
9. Yettram AL, Wright KWJ, Pickard HM (1976) Finite Element Stress Analysis of the Crowns of Normal and Restored Teeth. J Dent Res.55(6):1004–11.
10. Nadig RR, Garian R. Stress distribution pattern in endodontically treated mesio occlusally involved premolars restored with ceramic onlay, vonlay and full crown restorations
11. Ibrahim AM, Richards LC, Berekally TL. Effect of remaining tooth structure on the fracture resistance of endodontically-treated maxillary premolars: An in vitro study. J Prosthet Dent. 2016 Mar;115(3):290-5.
12. Mookhtiar H, Vonlay; A Paradigm Shift in Post Endodontic Restoration: A Case Report. Ann Clin Med Case Rep. 2022; V9(11): 1-4.