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.

scholarly journals Use of a Surgical Guide in a Crown-Lengthening Procedure to Improve the Aesthetics of the Interdental Papillae: A Case Report

2012 ◽  
Vol 2 (3) ◽  
pp. 75
Author(s):  
Duygu Kılıç ◽  
Banu Arzu Alkan ◽  
Kerem Kılıç
Keyword(s):  
Case Report ◽  
Native Speakers ◽  
Interdisciplinary Treatment ◽  
Surgical Guide ◽  
All Ceramic ◽  
Comprehensive Examination ◽  
Native Speakers Of English ◽  
Ceramic Restorations ◽  
Crown Lengthening ◽  
Adult Female Patient

Aim: This case report describes the use of a surgical guide in a crown-lengthening procedure to improve the aesthetics of the anterior interdental papillae in an adult female patient. Methodology: A 40-year-old female underwent a crown-lengthening procedure with guidance provided by a surgical template to correct unsatisfactory aesthetics in the anterior gingiva and prosthesis. Results: The patient’s functional and aesthetic expectations were met successfully with interdisciplinary treatment, including surgical crown lengthening and the placement of all-ceramic restorations. Conclusions: This case showed that satisfactory anterior aesthetics can be achieved by comprehensive examination, careful planning of treatment employing a surgical guide, and prosthodontist–periodontist teamwork, even in the complete absence of interdental papillae.  How to cite this article: Kılıç D, Alkan BA, Kılıç K. Use of a Surgical Guide in a Crown-Lengthening Procedure to Improve the Aesthetics of the Interdental Papillae: A Case Report. Int Dent Res 2012;2:75-80. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Leonardo Fernandes da Cunha ◽  
Rayane Alexandra Prochnow ◽  
Adriana Osten Costacurta ◽  
Carla Castiglia Gonzaga ◽  
Gisele Maria Correr
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Composite Resin ◽  
Resin Cement ◽  
Periodontal Tissues ◽  
Anterior Teeth ◽  
Composite Resin Restorations ◽  
Ceramic Restorations ◽  
Resin Restorations

This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

scholarly journals Proporção áurea na reabilitação de múltiplos diastemas com laminados vitrocerâmicos reforçados com dissilicato de lítio

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Paula Mayumi Siqueira ◽  
Fábio Eduardo de Siqueira ◽  
Edson Suguiama ◽  
Gabriel Marcondes Castanheira ◽  
Fernanda Midori Tsuzuki ◽  
...  
Keyword(s):  
Case Report ◽  
Sao Paulo ◽  
Resin Cement ◽  
São Paulo ◽  
Dental Esthetics ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Dent Assoc ◽  
Ceramic Restorations ◽  
Laminate Veneers

Introdução: O restabelecimento de um sorriso harmônico constitui um grande desafio para a odontologia restauradora. A sincronia entre diversas especialidades se faz necessária para diagnosticar e tratar alterações estéticas, buscando a excelência do resultado e a satisfação do paciente. Um método bastante citado na literatura e aplicado por muitos clínicos é baseado na teoria da regra de proporção áurea. Quando adotada para situações complexas a proporção áurea pode ser um ponto de referência para a reabilitação. Deste modo, o trabalho tem como objetivo demonstrar uma reabilitação estética de diastemas múltiplos após tratamento ortodôntico, por meio de laminados vitrocerâmicos reforçados com dissilicato de lítio, onde o conceito de proporção áurea é aplicado. Descrição do caso clínico: Primeiramente, o plano de tratamento consistiu na distribuição uniforme dos diastemas, sendo posicionados da maneira mais harmônica e favorável para a oclusão na reabilitação com laminados vitrocerâmicos. A segunda fase consistiu na cimentação dos laminados, a fim de obter um resultado estético agradável. Discussão: A associação de ortodontia prévia a instalação dos laminados, permite uma melhor harmonia estética e oclusal, garantindo uma longevidade do tratamento. Opções restauradoras como laminados vitrocerâmicos reforçados com dissilicato de lítio permitem reabilitações extensas minimamente invasivas. Para casos complexos a proporção áurea, quando alinhada com os conceitos de macro e microestética, pode levar ao sucesso estético.Descritores: Estética Dentária; Facetas Dentárias; Diastema.ReferênciasSoares GP, Silva FAP, Lima DANL, Paulillo LAMS, Lovadino JR. Prevalência da proporção áurea em indivíduos adultos-jovens. Rev odonto ciênc. 2006;21:346-50.Higashi C, Amaral RC, Hilgenberg SP, Gomes JC, Hirata R, Loguercio R, et al. Finalização estética em dentes anteriores pós tratamento ortodôntico: relato de caso clínico. Int J Bras Dent. 2007;3:388-98.Kalia A, Mirdehghan N, Khandekar S, Patil W. Multi-disciplinary approach for enhancing orthodontic esthetics - case report. Clin Cosmet Investig Dent. 2015;13:83-9.Otani T, Raigrodski AJ, Mancl L, Kanuma I, Rosen J. In vitro evaluation of accuracy and precision of automated robotic tooth preparation system for porcelain laminate veneers. J Prosthet Dent. 2015;114:229-35.BaratierI LN. Estética: restaurações adesivas diretas em dentes anteriores fraturados. São Paulo: Santos Editora; 1998.Levin, EI. Dental esthetics and the golden proportion. J Prosthet Dent. 1978;3:244-52.Siqueira PM, Nahsan FPS, Naufel FS, Formighieri LA, Schmitt VL. Incidência da proporção áurea regressiva após tratamento ortodôntico. Rev Odontol Bras Central. 2012;21:515-18.Melo GFB, Menezes Filho PFM. Proporção áurea e sua relevância para a odontologia estética. Int J Dent. 2008;7:234-238.Oliveira VLR. Estudo da proporção áurea entre incisivos centrais. SOTAU R. Virtual Odontol. 2008;5:2-6.Proffit W, Fields HW, Sarver DM. Contemporary orthodontics Fourth edition. Oxford: Elsevier Health Sciences; 2006.Moon JE. Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers: a case report. J Adv Prosthodont. 2010;2:61-63.Keene HJ. Distribution of diastemas in the dentition of man. Am J Phys Anthropol. 1963;21:437-41.Nagalakshmi S, Sathish R, Priya K, Dhayanithi D. Changes in quality of life during orthodontic correction of midline diastema. J Pharm Bioallied Sci. 2014;6:162-64.Jacobson N, Frank CA. The myth of instant orthodontics: an ethical quandary. J Am Dent Assoc. 2008;139:224-34.Bona AD. Bonding to ceramics: scientific evidences for clinical dentistry. São Paulo: Artes Médicas; 2009. p. 91-132.Griggs JA. Recent advances in materials for all-ceramic restorations. Dent Clin North Am. 2007;51:713-27.Gurel G, Sesma N, Calamita MA, Coachman C, Morimoto S. Influence of enamel preservation on failure rates of porcelain laminate veneers. Int J Periodontics Restorative Dent 2013;33:31-9.Vargas MA, Bergeron C, Diaz-Arnold A. Cementing all-ceramic restorations: recommendations for success. J Am Dent Assoc. 2011;142:20-24.Runnacles P, Correr GM, Baratto Filho F, Gonzaga CC, Furuse AY. Degree of conversion of a resin cement light-cured through ceramic veneers of different thicknesses and types. Braz Dent J. 2014; 25:38-42.Almeida JR, Schmitt GU, Kaizer MR, Boscato N, Moraes RR. Resin-based luting agents and color stability of bonded ceramic veneers. J Prosthet Dent. 2015;114:272-77.Marubayashi AMW, Shinike, AY, Terada, HH, Kurihara, E, Terada RSS. Avaliação da proporção áurea em pacientes submetidos ou não a tratamento ortodôntico. Rev Dental Press Estét. 2010;7:72-80.Morley J1, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc. 2001;132:39-45.Johnston CD, Burden DJ, Stevenson MR. The influence of dental to facial midline discrepancies on dental attractiveness ratings. Eur J Orthod. 1999;21:517-22.Kokich VO Jr, Kiyak HA, Shapiro PA. Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent. 1999;11:311-24.

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.

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 Restoring smile by esthetic intraradiular tooth reinforcement and metal free crown: a case report

2017 ◽  
Vol 3 (3) ◽  
pp. 87
Author(s):  
Sheen J. Arora ◽  
Aman Arora ◽  
Ritu Sangwan ◽  
Prachi Jain
Keyword(s):  
Case Report ◽  
Metal Free ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Ceramic Restorations ◽  
Ceramic Crown ◽  
Teeth Development

<p>Aesthetic management of maxillary anteriors provide a challenge to the artistic and technical abilities of a prosthodontist. Metal-free crowns in such cases allows for highly aesthetic solutions to reshape fractured teeth or teeth with other defects. In severely compromised anterior teeth, development of non-metallic post systems has made possible the generation of metal-free ceramic restorations. This article describes a case where all-ceramic crown reinforced with post was utilized to improve the esthetics of the patient. </p>

scholarly journals Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

2016 ◽  
Vol 54 (3) ◽  
pp. 306
Author(s):  
Tae Su Kim ◽  
Jae Hyun Lee ◽  
Chul Won Lee ◽  
Won Sup Lee ◽  
Su Young Lee
Keyword(s):  
Tooth Wear ◽  
All Ceramic ◽  
Full Mouth Rehabilitation ◽  
Ceramic Restorations

scholarly journals Masking Conventional Metallic Cast Post for Enhancing Esthetics

2016 ◽  
Vol 6 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Jyoti B Nadgere ◽  
Naisargi P Shah ◽  
Amit Mahadeo Gaikwad
Keyword(s):  
Case Report ◽  
Metal Core ◽  
Metallic Core ◽  
Tooth Structure ◽  
Custom Made ◽  
All Ceramic ◽  
Post And Core ◽  
Ceramic Restorations ◽  
Labial Surface ◽  
Metal Post

ABSTRACT Loss of tooth structure occurs due to caries, endodontic treatment, or fracture caused by trauma; restoring these teeth is difficult task for a clinician. Post and core is an option for teeth when excessive tooth structure is lost and teeth need to be restored with crown and bridge procedure. They can be prefabricated post with composite built up or a one-piece custom-made post. The custom-made cast metal post and core have disadvantage due to their color that imparts grayish hue to overlying ceramic restorations. Masking the metal core can enhance the esthetic of all ceramic restorations that are placed over the cast post and core. A case report is being presented where the metallic core was masked with ceramic built up on labial surface of metal core. How to cite this article Shah NP, Gaikwad AM, Ram SM, Nadgere JB. Masking Conventional Metallic Cast Post for Enhancing Esthetics. J Contemp Dent 2016;6(1):85-89.

scholarly journals Retreatment of 6 Ceramic Restorations In A Single Session - The Application of Er:YAG Laser And CAD/CAM Technology: An 1 Year Follow Up Clinical Evaluation

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Christian Giancarlo Bernal ◽  
Ester Mi Ryoung Lee ◽  
Carlos De Paula Eduardo ◽  
Ana Maria Aparecida Souza ◽  
Luciane Hiramatsu Azevedo
Keyword(s):  
High Speed ◽  
Er:Yag Laser ◽  
Single Session ◽  
High Power Lasers ◽  
Yag Laser ◽  
Anesthetic Agents ◽  
All Ceramic ◽  
Cad Cam ◽  
Ceramic Restorations

Background: To present the benefits of high power lasers (Er: YAG and Nd: YAG) over the use of the high speed turbine for the extraction of ceramics restorations, without damaging the surfaces of the teeth; being a relatively easier and faster procedure without the use of anesthetic agents, and the preparation of the ceramic restorations and cementing in the single session; with a follow-up of 1 year. Objective: The benefits of lasers over high-speed turbine mechanical instrumentation for crown removal encompass efficient restoration recovery without damage to tooth surfaces; and a relatively easier and faster procedure without the use of anesthetic agents. Methods: The Er: YAG laser (no contact; 3.2-4.0 W, 20 Hz) was used to extract the porcelain prosthesis, followed by a gingivectomy with the Nd: YAG laser on tooth 12 to improve the gingival contour. The dental surfaces where the ceramic prosthesis will be cemented were scanned. Then, CAD / CAM technology was used to make the ceramic veneers that were cemented in the same session. Results: The efficacy the Er:YAG laser energy was observed by the decreased of the time to remove all-ceramic materials through ablation of bonding cements, reducing working time by 75% compared to a high-speed turbine. Conclusions: An Er: YAG laser can safely remove lithium disilicate crowns with the settings used in this study. Laser-assisted removal of all ceramic PDFs is a promising treatment protocol. The use of the Nd: YAG (2.0 W power, short 20Hz, 320 µm optical fiber, in contact) laser allowed gingivoplasty to be performed, automatically cauterizing avoiding post-operative bleeding, and facilitating the preparation of ceramic restorations the same day. The use of high-power lasers and the use of accompanying CAD / CAM technology allowed this clinical case to be completed in a single visit without the use of temporary restorations, achieving absolute patient satisfaction.   Keywords Er:YAG; Nd:YAG; Lithium disilicate ceramic; CAD/CAM.

Sign in / Sign up

Export Citation Format

Share Document