scholarly journals Aesthetic and functional rehabilitation with Alumina: a case report

2016 ◽  
Vol 19 (4) ◽  
pp. 119
Author(s):  
Ricardo Holanda Alves ◽  
Gisely Naura Venâncio ◽  
Joyce De Figueiredo Meira ◽  
Carina Toda ◽  
Nikeila Chacon de Oliveira Conde ◽  
...  

<p>All-ceramic restoration of anterior teeth is a challenging clinical situation for which a variety of all-ceramic systems are available. The aim of this study is to present a case report of the construction of two single-unit metal-free fixed prostheses in anterior teeth. A 30-year-old male patient came to the Faculty of Dentistry, Federal University of Amazonas, concerned about his teeth. Elements 11 and 12 were endodontically retreated and fiberglass intracanal retainer posts were inserted. Dental crowns were prepared using the silhouette technique. The crowns were cemented with resin cement. The patient was very satisfied with his new smile and the aesthetic rehabilitation of the anterior teeth provided by the treatment.</p><p><strong>Keywords</strong>: Aesthetics; Oral rehabilitation; Dental porcelain.</p>

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Paula Mayumi Siqueira ◽  
Fábio Eduardo de Siqueira ◽  
Edson Suguiama ◽  
Gabriel Marcondes Castanheira ◽  
Fernanda Midori Tsuzuki ◽  
...  

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.


2021 ◽  
Vol 10 (38) ◽  
pp. 11-20
Author(s):  
Thays Maria Veiga da Silva Ângelos ◽  
Johanna Cuadros-Sanchez ◽  
Rodrigo Ehlers Ilkiu ◽  
Cristian Higashi ◽  
Antonio S. Sakamoto Junior

Achieving aesthetic and functional result is a major challenge in oral rehabilitation, as the constant search for a harmonic smile raises patients level of demand and expectation. Restoring anterior teeth with aesthetics and predictability is one of the greatest challenges in contemporary dentistry and to know how to select the most suitable ceramic system and to have knowledge, controlling the variables at the time of adhesive cementation such as treatment of dental substrate surfaces and ceramic restoration will define the longevity and success of the restorative treatment. Therefore, the present article describes a rehabilitation with ceramic restorations on upper anterior teeth, seeking smile harmonization. It was emphasized clinical applicability in face of aesthetic challenge for different substrates, how to achieve predictable results with ceramic laminates associated with the lithium disilicate crown, and a crown with zirconia coping and laminate on it to mask the implant. This material presents excellent reproduction of dental structure optical properties in addition to high fracture resistance. A very pleasant aesthetic result was achieved, and also aesthetic harmonization of the rehabilitated teeth, restoring not only the aesthetic and saturation of the substrate, but promoting patient well-being associated with masticatory function and longevity for this clinical situation.


Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.


Prosthesis ◽  
2020 ◽  
Vol 2 (3) ◽  
pp. 196-210
Author(s):  
Paolo Scattarelli ◽  
Paolo Smaniotto ◽  
Serena Leuci ◽  
Gabriele Cervino ◽  
Mario Gisotti

The aesthetic treatment for anterior teeth requires a series of clinical and technical evaluations to obtain a predictable result, following a well-defined operating sequence. Today, the clinical–technical team can use different digital tools in the different steps of the workflow. A preventive assessment, the knowledge of limits, and the possibilities of surgical and prosthetic procedures allow to use these devices. Sharing goals of the treatment with the patient according to their expectations and needs is the key point of the treatment plan. Setting a defined treatment plan avoids invasive procedures. In this clinical case report, a 27-year-old patient affected by Class II div 2 malocclusion with deep bite was treated with a full digital workflow. Previewing the aesthetics was through dedicated software, which shows operators and patients the objectives of the therapy and guides the dental technician in the first phase of the work. The use of digital flows in the prosthetic phases reduces the working time. In this case, it shows the impact of a digital workflow on peri-prosthetic therapy for the aesthetic rehabilitation of the upper central incisors in a young adult.


2018 ◽  
Vol 36 (77) ◽  
Author(s):  
Pablo Emilio Molano Valencia ◽  
Bibiana Inés Yepes Ramírez ◽  
Alix María Varela Peñaranda

RESUMEN. Antecedentes: La técnica en rollo modificado se ha utilizado ampliamente para mejorar el aspecto estético de las deficiencias de rebordes alveolares durante el tratamiento de rehabilitación y disminuir dolor posoperatorio. Objetivo: Describir un caso clínico en el que se realizó un aumento del reborde alveolar por medio de técnica en rollo modificada y se presentó un absceso durante las primeras semanas posoperatorias. Se describe también manejo clínico del caso. Resultados: Después del diagnóstico clínico y microbiológico, se realizó tratamiento antibiótico. En el control a los cuatro meses se observó resolución completa del absceso.ABSTRACT. Background: The modified roll technique has been widely used to improve the aesthetic appearance of alveolar ridge deficiencies during the oral rehabilitation treatments and to reduce postoperative pain. Purpose: To describe a case of alveolar ridge increase through modified roll technique and an abscess that occurred during the initial postoperative weeks. The clinical treatment of the case is also described. Results: After clinical and microbiological diagnosis, the patient underwent antibiotic therapy. Four-month follow-up showed complete resolution of the abscess. 


2020 ◽  
Vol 8 (9) ◽  
Author(s):  
Allany Oliveira Andrade ◽  
Ana Vitória Leite Luna ◽  
Isabela Alcântara Farias ◽  
Marcelo Gadelha Vasconcelos ◽  
Rodrigo Gadelha Vasconcelos

A Odontologia restauradora deve ser praticada da forma mais conservadora possível. Os laminados cerâmicos, usualmente conhecidos como lentes de contato, são considerados uma boa opção para os procedimentos estéticos, pois o seu preparo é limitado ao esmalte, o que os tornam uma abordagem conservadora. Este trabalho objetiva sintetizar informações de bases científicas que corroborem sobre os laminados cerâmicos com ênfase no seu passo a passo clínico. Em reabilitações com laminados estéticos devem ser selecionadas corretamente os casos clínicos e o tipo de cerâmica mais indicada, pois estas se diferem entre si em suas propriedades mecânicas e estéticas. Além disso, o preparo dentário, quando houver, deve ser de até 0,5mm de espessura. Para a moldagem, o material de escolha deve ser de qualidade, onde o mais indicado é a silicona de adição devido a suas propriedades superiores. No que concerne à etapa de cimentação a técnica que associa o ácido hidrofluorídrico, silano e cimento resinoso promove excelente desempenho clínico em longo prazo, podendo chegar a 90% de sucesso clínico após 13 anos de acompanhamento.Descritores: Prótese Dentária; Estética Dentária; Cerâmica; Facetas Dentárias.ReferênciasTurgut S, Bagis B. Effect of resin cement and ceramic thickness on final color of laminate veneers: An in vitro study. J Prosthet Dent. 2013;109(3):179–86.Andrade AO, Silva IVS, Vasconcelos MG, Vasconcelos RG. Cerâmicas odontológicas: classificação, propriedades e considerações clínicas. SALUSVITA. 2017;36(4):1129-52.Souza ROA, Miyashita E. Lentes de contato cerâmicas como alternativa para correção de giroversões e diastemas em área estética. Prótesenews.2014;1(1):38-50.Alhekeir DF, Al-Sarhan RA, Al Mashaan AF. Porcelain laminate veneers: Clinical survey for evaluation of failure. Saudi Dent J. 2014;26(2):63-7.Kumar GV, Poduval TS, Reddy B, Reddy S. A study on provisional cements, cementation techniques, and their effects on bonding of porcelain laminate veneers. J Indian Prosthodont Soc. 2014;14(1):42-9.Soares PV, Spini PH, Carvalho VF, Souza PG, Gonzaga RC, Tolentino AB et al. Esthetic rehabilitation with laminated ceramic veneers reinforced by lithium disilicate. Quintessence Int. 2014;45(2):129-33.Giray EF, Duzdar L, Oksuz M, Tanboga I. Evaluation of the bond strength of resin cements used to lute ceramics on laser-etched dentin. Photomed Laser Surg. 2014;32(7):413-21.Miyashita E, Oliveira GG. Odontologia estética: os desafios da clínica diária. São Paulo: Napoleão; 2014.Vieira D, Monsores VV. Metal Free - Lentes de contato e coroas totais. São Paulo: Santos; 2013.Anusavice JK, Shen C, Rawls HR. Phillips Materiais Dentários. São Paulo: Saunders Elservier; 2013.Bottino MA. Percepção: estética em próteses livres de metal em dentes naturais e Implantes. São Paulo: Artes Médicas; 2009.Greco DG, Carvalho RAC, Silva MD. Odontologia de alta performance: laminados cerâmicos ultra conservadores. São Paulo: Napoleão; 2015.Monteiro J, Polo GG. Effect of ceramic thickness and cement shade on the final shade after bonding using the 3D master system: a laboratory study. Clin Exp Dent Res. 2016;2(1):57-64.Sapata A, Costa JA, Lenza VJ, Francci CE, Witzel MF, Lodovici E. Lentes de contato: harmonização do sorriso sem desgaste dental. clin int j braz dent. 2013;9(2):154-63.Calixto LR, Bandeca MC, Andrade MF. Enceramento diagnóstico: previsibilidade no tratamento estético indireto. R dental press estét. 2011;8(4):26-37.Baratieri LN, Chain MC. Odontologia restauradora: fundamentos e possibilidades. 2.ed. São Paulo: Santos; 2015.Farias Neto A, Gomes EMCF, Sánchez Ayala A, Sánchez Ayala A, Vilanova LSR. Esthetic rehabilitation of the smile with no-prep porcelain laminates and partial veneers. Case Rep Dent. 2015; 2015: 452765Vanlıoğlu BA, Kulak-Özkan Y. Minimally invasive veneers: current state of the art. Clin Cosmet Investig dent. Cosmetic and Investigational Dentistry. 2014;6:101-7.Alves RH, Venâncio GN, Meira JF, Toda C, Conde NCO, Bandeira MFCL. Aesthetic and functional rehabilitation with Alumina: a case report. Reabilitação estética e funcional com Alumina. Braz Dent Sci. 2016;19(4):119-24.Higashi C, Silva MJ, Gomes JC. Preservação da normalidade do periodonto após procedimentos restauradores. Rev Dicas. 2012;1:20-3.Korkut B, Yanikoğlu F, Günday M. Direct Composite Laminate Veneers. J Dent Res Dent Clin Dent Prospects. 2013;7(2):105-11.Pini NP, Aguiar FHB, Lima DANL, Lovadino JR, Terada RSS, Pascotto RC. Advances in dental veneers: materials, applications, and techniques. Clin Cosmet Investig Dent. 2012; 4:9–16Van Noort R. Introdução aos materiais dentários. São Paulo: Mosby elservier 3º ed; 2010.Cardoso PC, Decurcio RA, Lopes LG, Souza JB. Importância da Pasta de Prova (Try-In) na cimentação de facetas cerâmicas – relato de caso. ROBRAC 2011;20(53):166-71.Amoroso AP, Ferreira MB, Torcato LB, Pellizzer EP, Mazaro JVQ, Gennari Filho H. Cerâmicas odontológicas: propriedades, indicações e considerações clínicas. Rev Odontol Araçatuba. 2012;33(2):19-25.Ferracane JL, Stansbury JW, Burke FJ. Self-adhesive resin cements - chemistry, properties and clinical considerations. J Oral Rehabil. 2011;38(4):295-314.Alavi AA, Behroozi Z, Nik Eghbal F. The shear bond strength of porcelain laminate to prepared and unprepared anterior teeth. J Dent (Shiraz). 2017;18(1):50-5.


2021 ◽  
Vol 1 (Volume 1 No 2) ◽  
pp. 121-130
Author(s):  
Azkya Patria Nawawi ◽  
Suzan Nusantari ◽  
Aprilia Adenan ◽  
Rasmi Rikmasari

Peg shape is one of the abnormalities of dental anatomy, i.e. tooth size is smaller than average and tapered shape. These peg-shaped teeth are often found in the maxillary lateral incisors and third molars. The form on the lateral incisor often causes aesthetic problems because of its anterior position. One of the treatments for peg-shaped teeth is Veneer. Case report: 26 years old woman had a peg-shaped shape on both lateral incisors. Indirect veneer aesthetic treatment was performed using Ceramage to correct the form and cover the diastema to achieve better aesthetics. Wax-up is done to see the suitability of the shape and proportion of the Veneer. Patients get a visual picture of the expected treatment results. The treatment results in Ceramage gave an excellent condition in improving the shape of the Peg-shaped incisor. The veneer colour resembles natural teeth, and the patient is satisfied with the treatment results. Ceramage can be used as a treatment option for anterior teeth with deformities. Ceramage Veneer is an alternative that can be done to improve the aesthetic appearance at a more economical cost for anterior teeth.


2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Adailton de Morais Cavalcante ◽  
◽  
Renata Cordeiro Teixeira Medeiros ◽  
Danilo Lopes Ferreira Lima ◽  
Saulo Ellery Santos ◽  
...  

The rehabilitation of complex cases in the anterior region of the maxilla may require knowledge of several dental specialties. when dental involvement also causes bone and gingival involvement, management usually requires adjustment of gingival zenitis and bone graft to compensate for bone loss. Objective: to discuss a case of previous orthodontic treatment for implant-prosthetic rehabilitation in the anterior region. Case report: This case report describes a 40-year-old patient who came with the intention of extracting the tooth and installing a bridge. The implant-prosthetic treatment was performed after previous orthodontic treatment to adapt the gingiva and space. Conclusion: The interrelationship of specialists in oral rehabilitation improved the aesthetic and functional result of this complex case. Orthodontic mechanics and periodontics adapted the space and improved the periodontal condition before the implant was installed, resulting in a very satisfactory aesthetic, improving the patient’s selfesteem


2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Satrio Krestiono M ◽  
Harry Laksono

Background: Metal frame denture design is common used for partially dentate patient, one of the problem was a metal appearance from wrought wire or a metal casting clasp as retainer, which is not really aesthetic. Telescopic overdenture with its double crown will be the best solution for those cases. Purpose: The purpose of this case report was to reported telescopic overdenture design and fabrication where the aesthetic was the main consideration. Case: Sixty years old female patient, a businesswoman, came to Dental Hospital of Universitas Airlangga, complained about her upper partially dentate and 6 years lower fixed partial denture, which is not comfortable to wear and her upper anterior teeth doesn’t look quite good. She wanted to make crowns and removable denture. Case management: After the diagnosis were made, the pretreatment plan were remove crown for the upper jaw, remove the bridges on lower jaw, and transitional dentures were made to maintain the VDO. The crowns and veneer were fabricated and inserted while the inner copings were tried up on prepared teeth. After the the dentures were produced, the inner copings were luted to the abutment teeth, and then the dentures were inserted using FGP (Friction GriP) cement for the friction effect. Discussion: Telescopic overdenture is consists of a double crown system known as “the telescopic”, the procedure involves fitting the remaining natural teeth with inner metal crowns, followed by outer crowns as part of an over denture that can be removed by the patient. Conclusion: This technique ensures that telescopic overdentures give natural aesthetic result.


RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 62
Author(s):  
Jeferson Luis de Oliveira Stroparo ◽  
Fabrício Guimarães Rodrigues ◽  
Moira Pedroso Leão ◽  
Dilcele Silva Moreira Dziedzic ◽  
João César Zielak

Introduction: Rehabilitation with the use of overlay-type removable prostheses is indicated in cases of more severe occlusal dysfunction. This type of treatment meets the need for more immediate results, providing aesthetic improvement while the rehabilitation work is being done, while promoting the gradual rehabilitation of occlusal function, re-adjusting the intermaxillary relationship. In addition, the patient can anticipate the final result of the treatment beforethe definitive prosthesis is made. Objective: To show a clinical case of planning and execution of removable overlays. Case report: JCF patient had occlusal dysfunction and presented as main complaint the aesthetic and functional deficiency. He used a removable partial denture (PPR) only on the upper arch. The existing prosthesis did not present stability due to the loss of some dental elements, pillars of the PPR. Two overlays (upper and lower) were indicated because the patient had good periodontal conditions in the remaining dentalelements that were in a favorable position. Necessary exodontia, adequacy of the buccal environment with sub and supragingival scaling and the fabrication of overlays were performed. Conclusion: The use of temporary overlays can provide the necessary time for the patient to adapt to the new occlusal conformation in the period in which the restorations and definitive prostheses are expected to be performed. The use of overlays presented a satisfactoryresult for the proposed treatment, since it promoted the functional rehabilitation, restored aesthetic, even temporarily, and motivated the patient to continue the treatment. According to the patient, there were significant improvements in chewing quality and self-esteem.


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