Removal of Bonded Ceramic Restorations: A Guide to Technique Selection

Material properties support predictable retrieval while preserving teeth and surrounding tissues.

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Adhesive cementation and high-strength ceramics enhance the longevity of indirect restorations but complicate their removal.
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Inappropriate removal techniques can lead to thermal injury, periodontal damage, ceramic fracture, and loss of tooth structure.
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Removal techniques are classified into conservative, semiconservative, and destructive methods, each with specific indications and risks.
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Ultrasonic removal is a conservative technique that weakens the bond of restorations but requires careful management to avoid damage.
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Laser-assisted debonding is effective for removing bonded ceramic restorations, particularly lithium disilicate, with controlled parameters.

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