scholarly journals Conservative Esthetic Approach of Anterior Teeth Using Minimal Intervention and Preservation of all Sound Tooth Tissue: a Case Report

2019 ◽  
Vol 21 (5) ◽  
pp. 489-493
Author(s):  
Janaina Emanuela Damasceno ◽  
Priscila Matos Pedreira ◽  
Thiago Ozi Bueno ◽  
Mariana Valerio Pallone ◽  
Thais Escobar Fava ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Young Patients ◽  
Tooth Bleaching ◽  
Conservative Approach ◽  
Dental Bleaching ◽  
Anterior Teeth ◽  
Bone Preservation ◽  
Invasive Techniques ◽  
Clinical Article

AbstractThis clinical case report describes a conservative approach to a smile harmony rehabilitation performing a gingivoplasty, dental bleaching and resin-based composites to finalize the case. This clinical article describes the case report of a patient in need of an esthetic and corrective solution for the anterior teeth, which presented a disharmonic smile, in its shape and color, besides the gingival smile. As a result, gingivoplasty, dental bleaching and restoration with composite resin were done. Gingivoplasty with bone preservation was possible because there was a large volume of soft tissue, and a distance ≥ 2 mm from the bone crest to the junction cementum enamel was confirmed. Bleaching was performed with the use of associated techniques: office (Whiteness HP 35%) and supervised at-home (Whiteness Perfect 10%) bleaching were performed, and then the "buccolingual technique" using a nanocomposite resin IPS was used from a diagnostic wax-up to perform the restorative procedure for the anterior teeth. The use of minimally invasive techniques is an effective alternative for the  anterior teeth rehabilitation. As in this case, the gingivoplasty, dental bleaching with associated techniques, and restorations with nanocomposites allowed satisfactory esthetic results, even more so in relation to dental preservation, mainly in young patients. Keywords: Tooth Bleaching. Gingivoplasty. Esthetic. Dental RestorationAbstractThis clinical case report describes a conservative approach to a smile harmony rehabilitation performing a gingivoplasty, dental bleaching and resin-based composites to finalize the case. This clinical article describes the case report of a patient in need of an esthetic and corrective solution for the anterior teeth, which presented a disharmonic smile, in its shape and color, besides the gingival smile. As a result, gingivoplasty, dental bleaching and restoration with composite resin were done. Gingivoplasty with bone preservation was possible because there was a large volume of soft tissue, and a distance ≥ 2 mm from the bone crest to the junction cementum enamel was confirmed. Bleaching was performed with the use of associated techniques: office (Whiteness HP 35%) and supervised at-home (Whiteness Perfect 10%) bleaching were performed, and then the "buccolingual technique" using a nanocomposite resin IPS was used from a diagnostic wax-up to perform the restorative procedure for the anterior teeth. The use of minimally invasive techniques is an effective alternative for the  anterior teeth rehabilitation. As in this case, the gingivoplasty, dental bleaching with associated techniques, and restorations with nanocomposites allowed satisfactory esthetic results, even more so in relation to dental preservation, mainly in young patients. Keywords: Tooth Bleaching. Gingivoplasty. Esthetic. Dental Restoration

scholarly journals Multidisciplinary approach on lateral incisors agenesis: a case report

2020 ◽  
Vol 9 (11) ◽  
pp. e439119618
Author(s):  
Talita Malini Carletti ◽  
Mariana Barbosa Câmara-Souza ◽  
Olivia Maria Costa de Figueredo ◽  
Renata Cunha Matheus Rodrigues Garcia
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Composite Resin ◽  
Young Patients ◽  
Dental School ◽  
Dental Bleaching ◽  
Gingival Thickness ◽  
Metal Free ◽  
Ceramic Crowns ◽  
Congenital Agenesis

Teeth absence in the anterior region of the maxilla can lead to psychosocial impairments, especially in young patients. Thus, the treatment of congenital agenesis of upper lateral incisors should consider prosthetic, restorative, and periodontal approaches to recover the patient's social and aesthetic functions. This article aims to present the case report of a 23-year-old male patient, who visited the Prosthodontic Clinic of the Piracicaba Dental School for the treatment of congenital agenesis of teeth 12 and 22. Implant-supported metal-free ceramic crowns, homemade dental bleaching, and restoration of maxillary canines with composite resin were planned. In addition, to improve gingival thickness around the peri-implant region of tooth 12, a periodontal surgery was performed using the vestibular tunnel access surgical technique (VISTA - Vestibular Incision Subperiosteal Tunnel Access). Thus, a multidisciplinary approach in the treatment of congenital agenesis of the upper lateral incisors has proved to be a reliable alternative to achieve patient's functional and aesthetic demands.

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 Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Preventive Treatment ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

Replacement of missing maxillary anterior teeth by a conservative approach: A clinical case report

2018 ◽  
Vol 9 (2) ◽  
pp. 90
Author(s):  
Radhika Lekhi ◽  
Kunwarjeet Singh ◽  
Shambhavi Shukla ◽  
Akash Raj Sharma
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Conservative Approach ◽  
Anterior Teeth

Direct Restoration of Worn Maxillary Anterior Teeth with a Combination of Composite Resin Materials: A Case Report

2005 ◽  
Vol 17 (2) ◽  
pp. 85-91 ◽  
Author(s):  
CARLOS JOSÉ SOARES ◽  
ELIANE CRISTINA GAVA PIZI ◽  
RODRIGO BORGES FONSECA ◽  
LUIS ROBERTO MARCONDES MARTINS ◽  
ALFREDO JULIO FERNANDES NETO
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Anterior Teeth ◽  
Direct Restoration

scholarly journals Use of intrarradicular pins in primary teeth: case report of one year of accompanying

2019 ◽  
Vol 67 ◽  
Author(s):  
Rafaela Cavalcanti AMARAL ◽  
Ivana Aguiar FERREIRA ◽  
Soraya Cristhina de Souza CAMPELLO ◽  
Ana Flávia Bissoto CALVO ◽  
Tamara Kerber TEDESCO ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Teeth ◽  
Shape Function ◽  
Composite Resin ◽  
Early Stage ◽  
Significant Loss ◽  
Anterior Teeth ◽  
Direct Restoration ◽  
Composite Resin Restorations ◽  
One Year

ABSTRACT Primary teeth have an important role in the growth and development of the child, besides being important for the good performance of masticatory function, phonation, occlusion and aesthetics, are the best space maintainers and eruption guide for the permanent successor. For anterior region, there are different alternatives of rehabilitation treatment, however, it is up to the professional to choose the best option. Objective To present a therapeutic management of upper incisors affected by carious lesion with intrarradicular pin in early childhood. Case report: male patient, with 2 years and 7 months of age and significant loss of dental structure at an early stage. In the impossibility of performing direct restoration, we opted for the rehabilitation with the use of glass fiber pins for intraradicular reinforcement and composite resin restorations in order to restore shape, function and aesthetics. Conclusion The use of fiberglass intra-radicular pins associated with direct restoration of composite resin is a recommended technique for the reconstruction of anterior teeth with great destruction.

scholarly journals Minimally Invasive Restoration in Anterior Teeth Affected by Enamel Hypoplasia: Clinical Case Report

2019 ◽  
pp. 99-113
Author(s):  
Juan Carlos Ramírez Barrantes DDS, MSD, PhD
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Composite Resin ◽  
Clinical Performance ◽  
Enamel Hypoplasia ◽  
Anterior Teeth ◽  
Conservative Dentistry ◽  
Correct Application ◽  
Selection Of

The preservation of healthy dental structures contributes to the practice of a conservative dentistry. This concept involves the implementation of biological and mechanical principles in a more predictable manner. Minimally invasive cavity preparations are the complement to the selection of adhesive and composite resin materials. The correct application of an adhesive protocol will provide imperceptible aesthetic restorations and adequate clinical performance.

scholarly journals Aesthetic restoration using composite resin in teeth with inactive carious lesions: a conservative and predictable approach

2020 ◽  
Vol 68 ◽  
Author(s):  
Patrícia DIAS ◽  
Nafaira Rízzea Ferreira SILVA ◽  
Victor da Mota MARTINS ◽  
Paulo César de Freitas SANTOS-FILHO ◽  
Uriel Paulo Coelho SILVA ◽  
...  
Keyword(s):  
Composite Resin ◽  
Correct Diagnosis ◽  
Composite Resins ◽  
Cervical Region ◽  
Dental Bleaching ◽  
Anterior Teeth ◽  
Aesthetic Appearance ◽  
Carious Lesions ◽  
Aesthetic Results ◽  
Composite Resin Restorations

ABSTRACT The importance of correct diagnosis, planning and treatment of dental spots is extremely important during aesthetic rehabilitation. Aesthetic requirements have become increasingly common in current society, and direct composite resin restorations are indicated due to the great advancement and increasing improvements of adhesive systems and composite resins. This work presents the clinical case of an oral aesthetic rehabilitation involving direct composite resin veneers associated with dental bleaching. The patient CSM, female, 21 years old, without systemic diseases, attended the dental clinic of the Morgana Potrich Eirelli College (FAMP) complaining of the unsatisfactory aesthetic appearance of her teeth. After careful anamnesis and detailed intraoral and extraoral examination, we identified the presence of a white spot on the upper anterior teeth. The spot was smooth and shiny, did not have soft tissue, and was well delimited and located in the cervical region. These characteristics led to the diagnosis of inactive carious lesions in the facial surface of the upper anterior teeth. After the treatment planning and its approval by the patient, the treatment started. The composite resin veneers associated with dental bleaching were indicated for better aesthetic results. The results achieved were satisfactory and met the patient’s aesthetic requirements by means of a correct diagnosis, study, and adequate planning for the case.

scholarly journals Anterior rehabilitation involving dental bleaching, frenectomy and composite resin: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Frederico dos Reis GOYATÁ ◽  
Luis Henrique Garcia MARQUES ◽  
Amália MORENO ◽  
Ivan Doche BARREIROS ◽  
João Batista NOVAES JÚNIOR ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Case Report ◽  
Clinical Examination ◽  
Composite Resin ◽  
Treatment Plan ◽  
Clinical Report ◽  
Functional Evaluation ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Restorative Treatment

ABSTRACT This clinical report describes the treatment of a patient dissatisfied with the esthetics of the smile due to the presence of narrow teeth, yellow and the presence of diastema between teeth 11 and 21. Clinical examination revealed absence of the disocclusion guides. The treatment plan consisted in obtaining study casts, assembly in a semi-adjustable articulator and diagnostic waxing, to evaluate the possibilities of a restorative treatment. After the approved the viability of the procedure, dental bleaching was started in-office with 38% hydrogen peroxide associated with at-home bleaching with 15% carbamide peroxide, in order to reduce the yellowing of the teeth. Afterwards, the functional evaluation of the restorative procedure was carried out through the prior preparation of the mock-up. After functional approval of the mock-up, lip frenectomy was performed, since the frenulum is the cause of the diastema between the teeth 11 and 21. After 4 weeks was carried out the restorative procedure of teeth 13 to 23, with direct composite resin, improving the aesthetics of the smile and restoring the disocclusion guides.

scholarly journals Dental bleaching with and without LED/Laser association: a split-mouth controlled study

2016 ◽  
Vol 73 (4) ◽  
pp. 267
Author(s):  
André Manoel Lima da Fonseca ◽  
Inger Campos Tuñas ◽  
Fábio Vidal ◽  
Fábio Ramôa Pires ◽  
Lucio Souza Gonçalves
Keyword(s):  
Hydrogen Peroxide ◽  
Diode Laser ◽  
Tooth Bleaching ◽  
Controlled Study ◽  
Dental Bleaching ◽  
Color Changes ◽  
Anterior Teeth ◽  
Color Scale ◽  
Bleaching Procedure ◽  
Visual Color

Objective: The aim of this study was to compare dental color changes after a one-session tooth bleaching procedure using 35% hydrogen peroxide with and without hybrid light (LED/diode laser) activation. Material and Methods: 20 volunteers were included in a split-mouth controlled clinical trial. A 35% hydrogen peroxide gel was applied directly on the buccal surface and adjacent areas of all upper anterior teeth. The six teeth were divided into two groups: the upper right incisors and canine were submitted to the tooth bleaching with the gel and the hybrid light (LED/diode laser) while the left incisors and canine were submitted to tooth bleaching with only the gel. Dental color was measured with a visual color scale and a spectrophotometer at five different moments: initial appointment, immediately after prophylaxis, and 14, 30 and 180 days after bleaching. Results: The comparison between the results of both treatments (with and without LED/laser) did not show any statistically significant differences (p > 0.05; Wilcoxon’s test) neither for objective (spectrophotometer) nor for subjective evaluations (visual color scale). Conclusion: The results of the present study showed that there are no differences in dental color changes between dental bleaching with gel and LED/Laser activation and dental bleaching with only gel.

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