--- title: How To Repair Porcelain Restorations Instead Of Replacing Them description: Avoid patient and practitioner frustration with step-by-step instructions on immediately and predictably performing porcelain repairs using composite resin. image: https://en.ultradent.blog/hubfs/Blog%20hero.png --- - [Products](https://www.ultradent.com.au/products/categories) - [Corporate Site](https://www.ultradent.com.au/company) - [Blog](https://en.ultradent.blog/) - ![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Australia.png) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/USA.png)USA](https://www.ultradent.com/) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Brazil.png)Brazil](https://www.ultradent.com.br) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/China.png)China](https://www.ultradent.cn) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Croatia.png)Croatia](https://www.ultradent.hr) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Europe.png)Europe](https://www.ultradent.eu) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/France.png)France](https://www.ultradent.fr) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Germany.png)Germany](https://www.ultradentproducts.com) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Italy.png)Italy](https://www.ultradent.it) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Japan.png)Japan](https://www.ultradent.jp) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Latin%20America.png)Latin America](https://www.ultradent.lat) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Netherlands.png)Netherlands](https://www.ultradentproducts.nl) - [![](https://info.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Spain.png)Spain](https://www.ultradent.es) - [![](https://blog.ultradent.com/hubfs/Template/Blog/images/Country%20Icons/Turkey.png)Turkey](https://www.ultradent.com.tr) - [Other Countries](https://www.ultradent.com.au/customer-service/support) [![The Arch an Ultradent Blog Logo](https://en.ultradent.blog/hubfs/Template/Blog/images/logo_blog_english.svg "logo_the_arch")](https://en.ultradent.blog/) Cancel - Recent Posts - [Can Teeth Whitening Be Harmful?](https://en.ultradent.blog/can-teeth-whitening-be-harmful) - [When Less Is More: Successful Tooth Whitening of a Fully Obliterated Tooth after a Trauma](https://en.ultradent.blog/when-less-is-more-successful-tooth-whitening-of-a-fully-obliterated-tooth-after-a-trauma) - [FORMA™: A Clinical Guide by Dr. Marcos Barceleiro](https://en.ultradent.blog/forma-a-clinical-guide-by-dr.-marcos-barceleiro) - [What Patients Really Notice: How to Build a Dental Team They'll Love (and Talk About)](https://en.ultradent.blog/what-patients-really-notice-how-to-build-a-dental-team-theyll-love-and-talk-about) - [FORMA™: A Clinical Guide by Dr. Jorge Eustáquio](https://en.ultradent.blog/forma-a-clinical-guide-by-dr.-jorge-eustáquio) - Categories - [Tooth Whitening](https://en.ultradent.blog/tag/tooth-whitening) - [Restorative](https://en.ultradent.blog/tag/restorative) - [Bonding](https://en.ultradent.blog/tag/bonding) - [Light Curing](https://en.ultradent.blog/tag/light-curing) - [Endodontics](https://en.ultradent.blog/tag/endodontics) - [Laser Dentistry](https://en.ultradent.blog/tag/laser-dentistry) - [Clinical Cases](https://en.ultradent.blog/tag/clinical-cases) - [Composites](https://en.ultradent.blog/tag/composites) - [Dental Marketing](https://en.ultradent.blog/tag/dental-marketing) - [Prevention](https://en.ultradent.blog/tag/prevention) - [Preparation](https://en.ultradent.blog/tag/preparation) - [Tissue Management](https://en.ultradent.blog/tag/tissue-management) - [Tips & Syringes](https://en.ultradent.blog/tag/tips-syringes) - Archives - Ultradent Sites - [Products](https://wwww.ultradent.com.au/products/categories) - [Corporate Site](https://www.ultradent.com.au/company) [![Ultradent Products, Inc. Logo](https://info.ultradent.com/hubfs/Template/Blog/images/ultradent_corner_logo.png)](https://www.ultradent.com.au) ![](https://en.ultradent.blog/hubfs/Blog%20hero.png) # How To Repair Porcelain Restorations Instead Of Replacing Them [Ultradent APAC](https://en.ultradent.blog/author/ultradentapac) | August 31, 2021 [![Share on facebook](https://en.ultradent.blog/hubfs/Template/Blog/images/facebook-color.png)](http://www.facebook.com/share.php?u=https://en.ultradent.blog/how-to-repair-porcelain-restorations-instead-of-replacing-them&utm_medium=social&utm_source=facebook) [![Share on linkedin](https://en.ultradent.blog/hubfs/Template/Blog/images/linkedin-color.png)](http://www.linkedin.com/shareArticle?mini=true&url=https://en.ultradent.blog/how-to-repair-porcelain-restorations-instead-of-replacing-them&utm_medium=social&utm_source=linkedin) [![Share on twitter](https://en.ultradent.blog/hubfs/Template/Blog/images/twitter-color.png)](https://twitter.com/intent/tweet?original_referer=https://en.ultradent.blog/how-to-repair-porcelain-restorations-instead-of-replacing-them&utm_medium=social&utm_source=twitter&url=https://en.ultradent.blog/how-to-repair-porcelain-restorations-instead-of-replacing-them&utm_medium=social&utm_source=twitter&source=tweetbutton&text=) [![Share on email](https://en.ultradent.blog/hubfs/Template/Blog/images/email-color.png)](mailto:?subject=Check%20out%20https://en.ultradent.blog/how-to-repair-porcelain-restorations-instead-of-replacing-them&utm_medium=social&utm_source=email%20&body=Check%20out%20https://en.ultradent.blog/how-to-repair-porcelain-restorations-instead-of-replacing-them&utm_medium=social&utm_source=email) ![shannonpacebrinker](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/shannonpacebrinker-1.jpg?width=122&height=150&name=shannonpacebrinker-1.jpg)   By: Shannon Pace Brinker, CDA, CDD **Avoid patient and practitioner frustration with step-by-step instructions on how to immediately and predictably perform chairside porcelain repairs using composite resin.**   These elements of esthetic dentistry can be very frustrating for both patient and practitioner especially in the case of an anterior tooth, yet most of these inherent problems with porcelain can be immediately and predictably repaired chairside with the use of composite resin. However, a study released in 2004 illustrated that of 87 porcelain veneers placed on 25 patients, 92 percent remained clinically acceptable (i.e. not needing repair or replacement) after 5 years, but only 64 percent remained clinically acceptable after 10 years.¹ Even under ideal circumstances, long-term function in the oral cavity (mastication), and such problems as diurnal/nocturnal bruxism, or an impact accident, can lead to porcelain fractures. Composite resin is frequently indicated for bonding, filling cavities, repairing fractures in crowns, onlays, bridges, and in the case presented here, repairing fractured porcelain veneers. It is important in the anterior region to match natural dentition in color and anatomic form, which composite resin easily achieves.² This is because available composite materials offer a variety of opaque and translucent shades, are extremely pliable, very resilient, and capable of being shaped or thinned using only a stream of air. Composite resin also possesses beneficial caries-inhibiting properties and increases the overall durability of restorations. In the past, the problem has been how to provide an adequate adhesive bond between the existing porcelain and the new composite. The preferred method of creating this bond is micromechanically (e.g. sandblasting with 5 mm aluminum dioxide), micromechanically (e.g. acid etching the porcelain with 9% hydrofluoric acid), and applying coupling agents and resins for better chemical retention that clinically translates into a more predictable porcelain bonding system. [![porcelain etch and silane syringes](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/p-porcelainetch-silanesyrin.jpg?width=720&height=163&name=p-porcelainetch-silanesyrin.jpg)](https://intl.ultradent.com/au/Dental-Products-Supplies/Bond-Etch/Etchants/Hydrofluoric-Acid-Gel/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx) Silanating porcelain restorations prior to adhesively bonding composite materials is extremely important because of the nature of the bond it creates between the porcelain and the composite repair material. This bond is both mechanical and chemical.³ Silane coupling agents function partly by forming “chemical bridges” between two materials (i.e., composite and porcelain), and partly by altering the surface of porcelain with the formation of microporosities. Microporosities allow bonding agents to infiltrate the internal structure of porcelain restorations to provide maximal adhesion. The longevity and strength of the bonds created depends on the silane coupling agent applied, and the method of application. ## **Clinical Case** A 20-year-old female patient presented with eight porcelain restorations that had been placed two years prior. The incisal edge of the veneer on the central fractured during an accident (She was trying to fix the time on her watch). This created an immediate dilemma for the patient, as she was in college far away and didn’t have time to travel back and forth for a replacement. Because of the age of the patient and restorations, the patient decided to do a composite repair to the fractured veneer intraorally. Procedure The pre-operative full retracted view of the patient’s fractured restoration (Fig. 1). [![The pre-operative full retracted view of the patient’s fractured restoration](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig1.jpg?width=564&name=fig1.jpg)](https://intl.ultradent.com/au/Dental-Products-Supplies/Bond-Etch/Etchants/Hydrofluoric-Acid-Gel/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx) Figure 1 The fractured porcelain veneer is air-abraded using aluminum oxide to increase micromechanical retention with the abrasion unit. Restoration was rinsed and dried (Figs. 2 and 3). [**![Restoration was rinsed and dried](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig2.jpg?width=564&name=fig2.jpg)**](https://intl.ultradent.com/au/Dental-Products-Supplies/Bond-Etch/Etchants/Hydrofluoric-Acid-Gel/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx) Figure 2 A 9% hydrofluoric acid porcelain etchant ([Ultradent Porcelain Etch](https://intl.ultradent.com/au/Dental-Products-Supplies/Bond-Etch/Etchants/Hydrofluoric-Acid-Gel/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx)) is applied to the porcelain veneer (Fig. 3). After 90 seconds, the porcelain etchant is rinsed off with a simultaneous mixture of air and water, which is directed toward the porcelain in an incisal direction, away from the tooth and gingival margin. Porcelain Etch is designed for intraoral or extraoral porcelain etching. Use it to etch porcelain or old macro-filled composites prior to bonding and repair. [**![Ultradent’s Silane is placed on the restoration and allowed to dry](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig3.jpg?width=570&name=fig3.jpg)**](https://intl.ultradent.com/au/Dental-Products-Supplies/Bond-Etch/Etchants/Hydrofluoric-Acid-Gel/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx) Figure 3 [Ultradent’s Silane](https://intl.ultradent.com/au/Dental-Products-Supplies/Bond-Etch/Etchants/Hydrofluoric-Acid-Gel/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx) is placed on the restoration and allowed to dry (Fig 4).[![Ultradent’s Silane is placed on the restoration and allowed to dry](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig4.jpg?width=565&name=fig4.jpg)](https://www.ultradent.com/es-la/Productos-Dentales/Adhesion-grabado/Acidos-grabadores/Gel-de-acido-fluorhidrico/Ultradent-Porcelain-Etch-and-Silane-Ceramic-Etchant-and-Silane-Solution/Pages/default.aspx?s_cid=A0002) Figure 4 Bonding resin is placed on the restoration, lightly air dried and cured (Fig. 5).  B1 body shade composite was used. ![Bonding resin is placed on the restoration, lightly air dried and cured](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig5.jpg?width=565&name=fig5.jpg)Figure 5 Composite material is manipulated with Ultradent’s [Wetting Resin](https://intl.ultradent.com/au/Dental-Products-Supplies/composites/Composite-Wetting-Resin/Pages/default.aspx?sku=3059-) (Fig. 6). [Composite Wetting Resin](https://intl.ultradent.com/au/Dental-Products-Supplies/composites/Composite-Wetting-Resin/Pages/default.aspx?sku=3059-) may be placed on the composite surface if it has become dry while contouring the composite. Use [Composite Wetting Resin](https://intl.ultradent.com/au/Dental-Products-Supplies/composites/Composite-Wetting-Resin/Pages/default.aspx?sku=3059-) on an instrument or brush to enhance glide. This greatly facilitates adaptation of the composite restoration and preparation.[![Use Composite Wetting Resin on an instrument or brush to enhance glide.](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig6.jpg?width=564&name=fig6.jpg)](https://intl.ultradent.com/au/Dental-Products-Supplies/composites/Composite-Wetting-Resin/Pages/default.aspx?sku=3059-) [Figure 6 The final layer of composite is added to incisal edge repair (Fig. 7). ![The final layer of composite is added to incisal edge repair](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig7.jpg?width=565&name=fig7.jpg)](https://intl.ultradent.com/au/Dental-Products-Supplies/composites/Composite-Wetting-Resin/Pages/default.aspx?sku=3059-) Figure 7 The completed restoration was polished with [Ultradent’s Jiffy polishing system](https://intl.ultradent.com/au/Dental-Products-Supplies/Finish/jiffy-composite-finishing/jiffy-composite-adjusters-and-polishers-cups-disks-points-brushes/Pages/default.aspx). Each bur is used to achieve a high gloss finish (green course, yellow medium, white fine) (Figs. 8a-c). [![he completed restoration was polished with Ultradent’s Jiffy polishing system](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig8a.jpg?width=564&name=fig8a.jpg)](https://intl.ultradent.com/au/Dental-Products-Supplies/Finish/jiffy-composite-finishing/jiffy-composite-adjusters-and-polishers-cups-disks-points-brushes/Pages/default.aspx) Figure 8a [**![he completed restoration was polished with Ultradent’s Jiffy polishing system](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig8b.jpg?width=564&name=fig8b.jpg)** Figure 8b **![fig8c](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig8c.jpg?width=566&name=fig8c.jpg)**](https://intl.ultradent.com/au/Dental-Products-Supplies/Finish/jiffy-composite-finishing/jiffy-composite-adjusters-and-polishers-cups-disks-points-brushes/Pages/default.aspx) Figure 8c Final polish with [Jiffy composite polishing brushes](https://intl.ultradent.com/au/Dental-Products-Supplies/Finish/jiffy-composite-finishing/jiffy-composite-adjusters-and-polishers-cups-disks-points-brushes/Pages/default.aspx) (Fig. 9)[![he completed restoration was polished with Ultradent’s Jiffy polishing system](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig9.jpg?width=564&name=fig9.jpg)](https://intl.ultradent.com/au/Dental-Products-Supplies/Finish/jiffy-composite-finishing/jiffy-composite-adjusters-and-polishers-cups-disks-points-brushes/Pages/default.aspx) Figure 9 Patient’s final smile after repair. ![Patient’s final smile after repair.](https://f.hubspotusercontent00.net/hub/6424106/hubfs/Imported_Blog_Media/fig10.jpg?width=564&name=fig10.jpg) Figure 10 **Conclusion** As the number of all-porcelain restorations increases, so too will the need for efficient, reliable intraoral repairs of fractured porcelain. Every time a restoration is removed more tooth structure is sacrificed. This restoration was repaired 3 years ago and still looks like it was placed yesterday. \--- *1.Peumans M, De Munck J, Fiews S, Lambrechts P, Vanherle G, Van Meerbeek B. A Prospective Ten-year Clinical Trial of Porcelain Veneers. Journal of Adhesive Dentistry 2004;6(1):65-76* *2.Fahl N Jr. A Solution for Everyday Direct Restorative Challenges. Journal of Cosmetic Dentistry 2010;26(3):57* *3.Calmia JR, Simonsen RJ. Effect of coupling agents on bond strength of etched porcelain. \[Abstract\] J Dent Res 1984;163:179.* *4.Antonucci JM, Dickens SH, Fowler BO, et al. Chemistry of silanes: interfaces in dental polymers and composites. J Res Natl Inst Stand Technol 2005;110(5):541-558.* *5.Barghi N. To silanate or not silanate: making a clinical decision. 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[June 2020 (5)](https://en.ultradent.blog/archive/2020/06) - [April 2020 (8)](https://en.ultradent.blog/archive/2020/04) - [August 2019 (3)](https://en.ultradent.blog/archive/2019/08) - [June 2019 (1)](https://en.ultradent.blog/archive/2019/06) - [April 2019 (1)](https://en.ultradent.blog/archive/2019/04) see all ### Recent Posts - [Can Teeth Whitening Be Harmful?](https://en.ultradent.blog/can-teeth-whitening-be-harmful) - [When Less Is More: Successful Tooth Whitening of a Fully Obliterated Tooth after a Trauma](https://en.ultradent.blog/when-less-is-more-successful-tooth-whitening-of-a-fully-obliterated-tooth-after-a-trauma) - [FORMA™: A Clinical Guide by Dr. Marcos Barceleiro](https://en.ultradent.blog/forma-a-clinical-guide-by-dr.-marcos-barceleiro) - [What Patients Really Notice: How to Build a Dental Team They'll Love (and Talk About)](https://en.ultradent.blog/what-patients-really-notice-how-to-build-a-dental-team-theyll-love-and-talk-about) - [FORMA™: A Clinical Guide by Dr. Jorge Eustáquio](https://en.ultradent.blog/forma-a-clinical-guide-by-dr.-jorge-eustáquio) © Ultradent Products, Inc. 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