scholarly journals Different approaches for aesthetic rehabilitation of discolored nonvital anterior teeth

Author(s):  
Pâmella Coelho DIAS ◽  
Fernanda Blanco Machado Junqueira FRANCO ◽  
Regina Guenka PALMA-DIBB ◽  
Rafael Cândido Pedroso e SILVA ◽  
Juliana Jendiroba FARAONI

ABSTRACT An ideal aesthetic standard consists of facial and smile harmony. Discolored teeth generally cause an imbalance in facial aesthetics, leading to low self-esteem and disturbance in social relationships. Causes of teeth discoloration are classified as intrinsic or extrinsic. Bleaching is considered a safe and effective treatment for discolored nonvital teeth and can be associated with restorative treatment to properly correct the dental color and maximize the aesthetic results. This paper aims to present two case reports of single discolored nonvital anterior teeth and the protocol used to reestablish the dental harmony of these patients by bleaching and direct composite resin restoration. To exert minimally invasive dentistry is very important to preserve tooth structure and reduce the risk of fracture. Internal bleaching, although may not be sufficient to reestablish the aesthetic in some cases, it is important to minimize dental preparation to perform an indirect or direct restoration. Dentists must take into account the patients expectations, dominate the restorative technique and know the dental materials to properly be able to restore function and aesthetics and consequently improve life quality and social relationships.

2021 ◽  
Vol 10 (40) ◽  
pp. 16-22
Author(s):  
Ana Carolina Portes Pasmadjian ◽  
Gabriela Resende Allig ◽  
Patricia Ferronato Araújo ◽  
Fernanda Cristina Pimentel Garcia ◽  
Leonardo Fernandes da Cunha

Objective: The objective of the present study was to present, through two clinical cases, the direct stratification technique and the sequence of finishing and polishing of composite resin restorations on fractured anterior teeth. Case reports: In the first case, an 11-year-old female patient fractured the upper central incisors. In the second, a 6-year-old female patient fractured the left upper central incisor. A detailed description of the layering technique, materials, and instruments available was presented, not only for the restoration itself but also for finishing and polishing. In both cases, the tooth fragment was lost, so it was decided to use the technique of direct restoration with composite resin. Discussion: The composite resin restores the tooth structure with excellent optical results, long-term predictability is obtained, in addition to being a conservative way to restore the aesthetics and function of fractured anterior teeth. Conclusion: The technique performed provided a satisfactory aesthetic and functional result that, consequently, improved the patient’s self-esteem.


2017 ◽  
Vol 42 (2) ◽  
pp. 117-121
Author(s):  
JT May

SUMMARY Computer-aided design and manufacturing technology enables practitioners to create, in a single appointment, indirect restorations that are esthetic and functionally unique to the patient's situation. The popular effort to perform minimally invasive dentistry using digital techniques with chairside milling can lead dentists to novel individualized restorative treatment. This article demonstrates a conservative anterior partial coverage restoration, utilizing both digital technology and chairside ceramic characterization to achieve an optimal esthetic outcome while preserving healthy tooth structure.


2013 ◽  
Vol 4 (3) ◽  
pp. 202-207
Author(s):  
Mateus Rodrigues Tonetto ◽  
Alvaro Henrique Borges ◽  
Matheus Coelho Bandeca ◽  
Fausto Frizzera Borges ◽  
Lucas Fontanari ◽  
...  

ABSTRACT The advent of new adhesive systems is making techniques and clinical protocols to become faster and simpler, however it does not reduce the importance of knowledge of the properties, characteristics and interaction of dental materials with the tooth structure. Among the adhesives that have recently emerged, highlight the self-etching systems, especially the two-step selfetching, in which the acid primer is available in a separate bottle from the adhesive. These adhesives have shown good results for bond strength, microleakage and postoperative sensitivity, being an option for direct adhesive restorations in anterior teeth. This way, the present case report describes the step-by-step making of a class IV restoration in an upper right central incisor using atwo-step adhesive system, obtaining satisfactory results. How to cite this article Tonetto MR, Borges FF, Fontanari L, Borges AH, Bandeca MC, de Andrade MF. Clinical Protocol for Esthetic Restoration using a Self-etching Adhesive. World J Dent 2013;4(3):202-207.


2016 ◽  
Vol 64 (2) ◽  
pp. 186-192
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Rahyza Inácio Freire de ASSIS ◽  
Flávia Bittencourt PAZINATTO

ABSTRACT The aim this study is to present a clinical case of conservative aesthetic restorative treatment of teeth 11 and 21 in a patient diagnosed with molar incisor hypomineralization. An 18-year-old female patient came to the Outpatient Restorative Dentistry Clinic at the Federal University of Espírito Santo, complaining mainly of not feeling comfortable with a color change in her anterior teeth. Molar incisor hypomineralization was diagnosed in molars and incisors and the negative psychosocial implications for the aesthetics involved were noticed. Due to factors such as age, financial viability, technical facility and low degree of severity, we opted for maximum preservation of the healthy tooth structure, through minimal surgical intervention to remove the irregular enamel only and subsequently restore the teeth involved (11 and 21) with resin composite. For the patient, this conservative procedure restored function and aesthetics, and thereby improved her emotional and social behavior. Conservative restorations can provide real solutions, especially in cases of molar incisor hypomineralization in anterior teeth where the patient's psychological state should always be considered. An appropriate assessment of the dental substrate and a careful restorative technique are necessary for success in terms of aesthetics and function and can quickly promote the patient's well-being.


Author(s):  
Haroon Rashid Baloch

Teeth veneering using composite resins are a conservative approach to improve aesthetics of patient. Due to the advancements in material science and improved clinical techniques, it has been made possible to meet the aesthetic needs of the patient. Ceramic-based laminate veneers are very popular to improve the patients smile and newer materials such as zirconia are now being used to fabricate restorations to achieve desirable results. Restoring teeth using conventional techniques i.e. crowns is a very popular method however; may require elective endodontic therapy, which may result in additional loss of tooth structure and could contribute to increased clinical costs. Adhesive dentistry allows us to replicate of the originality of the teeth and preservation of almost all dental tissues. Adhesive dentistry has seen many progresses during the last decade. In the light of least-invasive dentistry, this approach for restorting teeth has allowed the clinicians to perform much more conservative cavity design preparations. The technique relies upon the effectiveness of current enamel-dentine adhesives that have undergone many advances themselves. Indirect techniques as compared to direct techniques offer several advantages and when used effectively, results in better patient satisfaction. The short descriptive review focuses on composite veneering materials, which may be used directly or indirectly, to achieve better aesthetic outcomes. The data was collected through a comprehensive search using the keywords, “Aesthetic Dentistry; Adhesive Dentistry; Composites; Veneering” from PubMed, Medline and Google Scholar, from 2000 to 2019.


2019 ◽  
Vol 7 (1) ◽  
pp. 27-32
Author(s):  
Zieta Sakinah Emdi ◽  
Reni Nofika

Root canal treatment aims to maintain the condition of the teeth in order to keep them functioning. In practice, the treatment procedure does not always run smoothly, the operator can face undesirable conditions that can affect the prognosis of treatment. A common procedural error during root canal treatment is a lateral root perforation which must be treated immediately to avoid further damage. The success of the perforation treatment is determined by the materials used. One of the bicompatible materials to seal lateral perforations using MTA (mineral trioxide aggregate). Successful root canal treatment affects treatment outcomes, so proper restoration is required to reduce the risk of marginal leakage. The choice of final restoration in post-root canal treatment depends on the amount of remaining tooth structure, horizontal pressure and chewing load. For post-root canal treatment anterior teeth with intact marginal edges, direct restoration can be performed using composite resin


2019 ◽  
Vol 44 (4) ◽  
pp. E159-E166 ◽  
Author(s):  
CRF Yanikian ◽  
F Yanikian ◽  
D Sundfeld ◽  
RBE Lins ◽  
LRM Martins

SUMMARY Direct composite resin veneers are a practical esthetic restorative treatment for reestablishing the shape and color of affected anterior teeth. The present clinical case reports aim to describe restorative treatment techniques for nonvital anterior teeth presenting color alteration. The direct composite resin layering technique has proven to be an efficient method for recovering the esthetics of darkened teeth. The direct vs indirect restorative treatments are debated as well. Clinical follow-ups of the presented case reports demonstrate that direct composite resin restorations are not affected by the darkened tooth substrate over time.


2018 ◽  
Vol 3 (1) ◽  
pp. 789-794
Author(s):  
Yuri Adriazola

Because the aesthetic results and preservation of tooth structure, lithium disilicate veneers are indicated for the aesthetic treatment of anterior teeth with abnormal shape, size and color. The aim of this report was to demonstrate the steps in oral rehabilitation using lithium disilicate veneers. The patient had teeth diastemas from 15 to 25; gene- ral and oral clinical examination was performed, and study models were obtained. waxed diagnosis was made based on the DSD and Mockup was drawn with addition silicone; the laboratory fabricate veneers lithium disilicate were cemented by adhesive technique. Veneers allowed a conservative, functional and aesthetic rehabilitation treatment of our patient.


2020 ◽  
Vol 16 (12) ◽  
pp. 1094-1099
Author(s):  
Sneha Pai ◽  

Dental caries is the major oral health problem in most of the countries, affecting 60-90% of school children and a vast majority of adults. Therefore, it is of interest to evaluate the association of age with Class VI defects restored with composite restorations. We used 102 cases with data regarding Class VI composite restorations in a datasheet of 86,000 records at Saveetha Dental College, India for this study. Data shows that Class VI restorations were commonly seen in upper anterior teeth in the age group of 51 and above. The cavities prepared to receive Class VI restoration followed a conservative design of caries removal and used direct restoration techniques for reconstruction of the lost tooth structure.


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.


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