Harini K

Year : 2025 | Volume : 10 | Issue : 2 | Page : 01-12

The Art of Preservation: Modern Approaches to Minimally Invasive Tooth Design

Harini K

Department of Prosthodontics, Yenepoya Dental College, Mangalore

Address for correspondence:

Department of Prosthodontics,

Yenepoya Dental College, Mangalore

harini.kdento1996@gmail.com

Background:

Minimally invasive tooth preparation (MITP) emphasizes preservation of enamel and dentin while achieving optimal aesthetic and functional outcomes through adhesive dentistry. It contrasts with traditional preparations that require extensive tooth reduction for mechanical retention.

Objectives:

This review outlines the principles, indications, preparation techniques, finish line designs, material selection, and clinical outcomes of MITP, including the role of digital technologies such as CAD/CAM and guided preparation systems.

Methods:

A literature review of studies published between 2000 and 2024 was conducted using PubMed and ScienceDirect, focusing on enamel preservation, adhesive performance, and restoration longevity

Results:

Techniques such as depth-groove preparation, silicone index guidance, and mock-up–guided preparation demonstrated reduced tooth reduction and improved enamel preservation. Bonded ceramic restorations showed survival rates exceeding 90% over 10 years, particularly when bonded to enamel.

Conclusion:

MITP is a predictable, evidence-based approach that enhances biological integrity, esthetics, and long-term restorative success.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

How to cite this Article: Harini K., The Art of Preservation: Modern Approaches to Minimally Invasive Tooth Design.A Narrative review.  Int J Soc Rehab 2025; 10(2): 1-12. doi:10.56501/intjsocrehab.v10i2.ijsr0044