scholarly journals Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Leandro Passos ◽  
Fernando Peixoto Soares ◽  
Mauricio Gallo
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Restorative Dentistry ◽  
Dental Bleaching ◽  
Anterior Teeth ◽  
Cad Cam ◽  
The Stability ◽  
Smile Esthetics ◽  
Crown Lengthening

This case report describes a successful multidisciplinary approach used to improve the smile esthetics of a patient presenting with excessive gingival display, asymmetric gingival margins, and small upper anterior teeth and lower anterior teeth. The treatment combined esthetic crown lengthening, dental bleaching, and restorative dentistry using CAD/CAM veneer. The 6-month follow-up examination confirmed the stability of the modification and absence of adverse effects.

scholarly journals Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report

RSBO ◽  
2017 ◽  
Vol 13 (4) ◽  
pp. 275
Author(s):  
Orides Ferrari Jr ◽  
Fernando Dalitz ◽  
Marina Samara Baechtold ◽  
Ubiracy Gaião Gaião ◽  
Leonardo Fernandes da Cunha ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Multidisciplinary Approach ◽  
Restorative Dentistry ◽  
Periodontal Health ◽  
Anterior Teeth ◽  
Increasing Demand ◽  
Resin Restorations

Esthetic rehabilitations require a broad and thorough evaluation of all the elements that make up the smile such as lips, dental, and periodontal structures to plan the treatment to provide harmony to the whole set. Objective: To demonstrate through a case the association of Periodontics and Restorative Dentistry in the esthetic rehabilitation of anterior teeth replacing resin restorations by modifying the gingival architecture conservatively and harmonically. Case report: It is essential for a multidisciplinary approach to succeed in treatment. The replacement of previous restorations is an increasing demand in currently clinical practice, for many reasons, mainly due to dissatisfaction with the esthetics. It is observed that many of these patients involve not only dissatisfaction with the dental structure but also with the periodontal health, for this reason, it is necessary a previous adaptation of the gingival tissues for proper restorative rehabilitation. Conclusion: Ceramic laminates have proved to be a great choice for anterior teeth restorations, but they must be indicated in specific situations, to obtain excellent results as most conservative as possible.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Developmental Anomalies ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

scholarly journals Surgical extrusion: A reliable technique for saving compromised teeth. A 5-years follow-up case report

2018 ◽  
Vol 32 (1) ◽  
pp. 25-30
Author(s):  
Jenner Argueta ◽  
Ana Orellana ◽  
Gianluca Plotino
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Anterior Tooth ◽  
Current Case ◽  
Reliable Technique ◽  
Anterior Teeth ◽  
Long Term Follow Up ◽  
Crown Lengthening

Aim: To present a long term follow up clinical case in which a compromised anterior tooth was saved by a surgical extrusion procedure. Summary: Although different techniques have been suggested for clinical crown lengthening in the anterior zone, some of them have limitations in terms of aesthetics and procedural requirements. The current case report demonstrates how a simplified surgical extrusion procedure was successfully performed for saving a severely damaged anterior tooth; furthermore, it is possible to apply the technique described in this case using minimum and simple armamentarium like a scalpel, elevators, forceps and splinting flexible cord. Key-learning points: Saving severely compromised anterior teeth is possible by applying surgical extrusion techniques when crown-root ratio allows it. Risk of root resorption or ankylosis is minimum.

Ultrathin CAD-CAM Ceramic Occlusal Veneers and Anterior Bilaminar Veneers for the Treatment of Moderate Dental Biocorrosion: A 1.5-Year Follow-Up

2018 ◽  
Vol 43 (4) ◽  
pp. 337-346 ◽  
Author(s):  
TH Resende ◽  
KR Reis ◽  
LH Schlichting ◽  
P Magne
Keyword(s):  
Case Report ◽  
Posterior Teeth ◽  
Present Case Report ◽  
Technical Aspects ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Cad Cam ◽  
Full Mouth Rehabilitation ◽  
Tooth Preparation

SUMMARY Dental biocorrosion can produce a devastating impact on oral health. The restorative phase of the treatment should not cause additional damage of the remaining sound tooth structure. Ultrathin occlusal veneers are a conservative alternative to traditional onlays and complete crowns for the treatment of severe biocorrosive lesions. This strategy is explained in the present case report through a full-mouth rehabilitation of a patient with moderate biocorrosion. Maxillary anterior teeth were restored using the bilaminar technique (lingual direct composite veneers with labial ceramic veneers) and posterior teeth using ultrathin CAD-CAM ceramic occlusal veneers. The technical aspects required for the implementation of this new restorative design are presented with a special emphasis on the control of tooth preparation based on diagnostic wax-up, provisionalization, and the use of CAD-CAM technology.

scholarly journals Restorative Management of Severe Localized Tooth Wear Using a Supraoccluding Appliance: A 5-Year Follow-Up

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Tsz Leung Wong ◽  
Michael George Botelho
Keyword(s):  
Case Report ◽  
Bulimia Nervosa ◽  
Tooth Wear ◽  
Tooth Surface ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Tooth Surfaces ◽  
Ceramic Restorations ◽  
Crown Lengthening

This case report illustrates a novel conservative restorative management of a patient with bulimia nervosa who presented with severe localized upper palatal tooth wear and an anterior reverse overjet. This was achieved by using a localized bite raising or supraoccluding appliance, cemented on the lingual side of the lower anterior teeth to create interocclusal space, obviating the need for tooth reduction of the eroded upper palatal and incisal tooth surfaces. Surgical crown lengthening was performed to create a better aesthetic gingival architecture. All-ceramic restorations were provided on the upper anterior teeth to restore the tooth surface loss and provide a positive overbite and overjet. There was no complication or other observable biological change detected at the 5-year follow-up. The use of an appliance applying the supraoccluding technique, or Dahl concept, is a safe, conservative, and useful treatment option in the management of localized tooth wear.

Cirurgia de aumento de coroa clínica e confecção de facetas diretas em resina composta orientadas por mock-up.

2020 ◽  
Vol 12 (45) ◽  
pp. 24-33
Author(s):  
Fábio Shiniti Mizutani ◽  
Atila de Freitas ◽  
Adriano Sapata ◽  
Claudio Sato
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Treatment Plan ◽  
Diagnostic Information ◽  
Good Treatment ◽  
Restorative Dentistry ◽  
Laboratory Technician ◽  
Crown Length ◽  
Anterior Teeth ◽  
Anterior Posterior

Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions .

scholarly journals Primary Tuberculous Lymphadenitis: a Rare Case Report

2018 ◽  
Vol 22 (2) ◽  
pp. 106-110
Author(s):  
Mustafa Mert Açikgöz ◽  
Ayşem Yurtseven ◽  
Gülsüm Ak
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Maxillofacial Surgery ◽  
Excisional Biopsy ◽  
Oral And Maxillofacial Surgery ◽  
Tuberculous Lymphadenitis ◽  
Rare Case Report ◽  
Long Term Follow Up

SummaryBackground/Aim: Our aim is to describe multidisciplinary approach to primary tuberculous lymphadenitis with a case report.Case Report: A 6-year-old boy was referred to İstanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery with the symptoms of painless extra-oral abscess and lymphadenopathy. The diagnosis of primary tuberculous lymphadenitis was proved by microbiological culture and ultrasound imaging.Conclusions: Combine tuberculosis treatment should be applied and long term follow up is necessary. Excisional biopsy for tissue diagnosis and bacterial examination with culture should be performed for an early diagnosis as a delay in treatment can lead to devastating consequences.

scholarly journals Aesthetic rehabilitation in a patient with skeletal mandibular deficiency and open bite: journey from splinted metalloceramic prosthesis to all-ceramic crowns

2020 ◽  
pp. 1-14
Author(s):  
Rizwan Nazeer ◽  
Shizrah Jamal ◽  
Farhan Raza Khan
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Open Bite ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Abutment Teeth ◽  
Ceramic Crowns ◽  
Crown Lengthening ◽  
Periodontal Healing ◽  
Endodontic Retreatment

Abstract This case report is of a 31-year-old female who presented with splinted and faulty metalloceramic prosthesis on maxillary anterior teeth, which was responsible for localised periodontal disease and poor aesthetics. At multiple sites the ceramic had chipped off and the prosthesis colour did not match with the adjacent healthy teeth. A multidisciplinary approach of endodontics, periodontics and prosthodontics was employed for this case. The treatment plan consisted of removing the faulty prosthesis, endodontic retreatment of inadequately root-treated teeth and endodontics in the other coronally prepared abutment teeth. Crown lengthening surgery was performed for the correction of periodontal pockets and high smile line and maintenance of an adequate biological width. After periodontal healing, all-ceramic individual crowns were placed on the maxillary anterior teeth along with a three-unit all-ceramic bridge for the replacement of the left upper maxillary first premolar. Continuous...  

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