scholarly journals Pembuatan Cantilever Bridge Anterior Rahang Atas sebagai Koreksi Estetik

2012 ◽  
Vol 19 (2) ◽  
pp. 167
Author(s):  
Yusrina Sumartati ◽  
Haryo Mustiko Dipoyono ◽  
Erwan Sugiatno

Latar belakang. Kehilangan gigi anterior rahang atas mengakibatkan gangguan fungsi fonetik dan estetik. Gangguan fungsi estetik menyebabkan pasie menjadi rendah diri. Kondisi ini dapat diatasi oleh dokter gigi, salah satunya dengan pembuatan cantilever bridge. Tujuan. Penulisan ini yaitu untuk memberi informasi bahwa pada kasus kehilangan gigi-gigi anterior rahang atas dengan space yang telah menyempit dan malposisi gigi dapat dibuatkan protesa berupa gigi tiruan cekat dengan desain cantilever bridge. Kasus dan perawatan. Laporan kasus ini membahas tentang pasien perempuan umur 39 tahun yang datang ke Rumah Sakit Gigi dan Mulut Prof. Soedomo, dengan keluhan merasa kurang percaya diri karena gigi depan rahang atas hilang sejak 5 tahun yang lalu akibat kecelakaan. Gigi-gigi anterior rahang atas yang masih ada mengalami malposisi akibat pemakaian gigi tiruan sebagian lepasan yang tidak baik. Perawatan yang dilakukan adalah dengan pembuatan cantilever bridge pada gigi 11, 12, 13 dan 21, 22, 23. Kesimpulan. Gangguan fungsi estetik pada gigi anterior rahang atas dapat diatasi dengan pembuatan cantilever bridge. Background. Maxillary anteriortooth loss resulting in impaired function of phonetic and aesthetic. Impaired function of aesthetic cause patients to become self conscious. This condition can be treated by a dentist, one with a cantilever bridge. Purpose. To inform that in case of missing anterior teeth of the upper jaw with a space that has been narrowed, and malposition of teeth can be made prosthesis denture fixed bridge with a cantilever design. Case and treatment. This case report discusses the 39 years old female patient who came to he Dental Hospital Prof. Soedomo, with complaints of feeling less confident due to the maxillary front teeth missing since 5 years ago due to an accident. Anterior teeth of the upper jaw are still experiencing malposition due to the use of removable partial dentures are not good. The treatment is done is by cantilever bridge on teeth 11, 12, 13 and 21, 22, 23. Conclusion. Impaired function of the aesthetic in the maxillary anterior teeth can be solved by a cantilever bridge. 

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.


2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.


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.


2010 ◽  
Vol 11 (4) ◽  
pp. 56-62 ◽  
Author(s):  
Yusuf Ziya Bayindir ◽  
Yahya Orcun Zorba ◽  
Cagatay Barutcugil

Abstract Aim The aim of this report is to present five-year follow-ups of two different applications for the use of direct laminate resin-based composite veneers to improve esthetics. Background Defects in the maxillary anterior teeth, such as enamel hypoplasia and peg lateral, can present esthetic challenges. Furthermore, a treatment plan that can be completed in a single appointment is highly desirable. This case report presents two different clinical cases involving the use of direct laminate resin-based composite veneers with five-year follow-ups. Case Report Case 1: A 17-year-old female patient was referred for treatment of her anterior teeth, which were unesthetically altered due to enamel hypoplasia and dental caries. A treatment plan was developed that included restoring the affected teeth with direct resin-based composite laminate veneers to improve the patient's appearance. The six maxillary anterior teeth were prepared for and restored with direct resinbased composite laminate veneers. At the fiveyear follow-up, the patient was satisfied with the restorations both esthetically and functionally. Case 2: A 15-year-old female patient also was referred for treatment to improve the appearance of her maxillary anterior teeth. A treatment plan was developed with two objectives: (1) to restore the undersized supernumerary crown in the area of the maxillary right lateral incisor and (2) to close the anterior diastemas. The facial surfaces were conservatively prepared and resin-based composite was applied with the aid of transparent crown forms. After completion of the treatment, the patient was recalled at six-month intervals. At the five-year follow-up appointment, the restorations were intact, no adverse effects were noted, and the resultant appearance was highly satisfactory for the patient. Summary The use of direct resin-based composite laminate veneers and adhesive bonding systems has been shown to provide an esthetic alternative to metal-ceramic or all-ceramic crowns for the rehabilitation of anterior teeth. This treatment option offers another advantage, namely a lower cost compared to an indirect technique. Other more complex and costly treatment options in the future are not ruled out. Clinical Significance In the present two cases, the initial and five-year follow-up results support the use of direct resin-based composite laminate veneers with minimal altering of healthy tooth structure. Such results should encourage clinicians to seek a cost-effective technique such as direct resin restorations to improve a patient's esthetic appearance in a single appointment. Citation Zorba YO, Bayindir YZ, Barutcugil C. Direct Laminate Veneers with Resin Composites: Two Case Reports with Five-Year Follow-ups. J Contemp Dent Pract [Internet]. 2010 July; 11(4):056-062. Available from: http://www. thejcdp.com/journal/view/volume11-issue4-zorba


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.


2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Hasanuddin Thahir ◽  
Arni I. Djais ◽  
Shek Wendy ◽  
Muhammad H. Achmad ◽  
Fuad H. Akbar

Objective: Describes and compare the procedure of superior labial frenum frenectomies with conventional technique and incision below the clamp technique.Methods: Two female patient came to Departement of periodonsia, Unhas Dental Hospital to have frenectomies. The first patient was 28 year old with labialis superior frenulum reached attached gingiva, gingival recession 1-2 mm with calculus deposits, and referred to do frenectomy with Incision below the Clamp. While the second patient was 15 year old with labialis superior frenulum extend up to palatine papilla, central diastema and referred to do frenectomy with conventional technique.Results: The conventional techniques is done by engaged the frenum by a haemostat that inserted into the depth of the vestibule, and incision were placed on the upper and the under surface of haemostat, then followed by suturing the wound and periodontal pack. Insision below the clamp technique is done by placing a hemostat in position adjacent and parallel to the lip mucosa, and incision carried out below the clamp, then followed by suturing at the mucolabial fold and periodontal pack.Conclusions: Patients were very satisfied with the results that achieved. Technique Incision below the Clamp is an alternative treatment with good aesthetic and less bleeding during frenectomies by using a scalpel.


2013 ◽  
Vol 12 (1) ◽  
pp. 100-103
Author(s):  
Neha Dhaded ◽  
Sunil Dhaded

This paper highlights the fact that many anterior teeth requiring restoration are severely weakened, having wide flared canal spaces and thin dentinal walls, and are at a high risk of getting fractured. An 20 year old female patient reported with the complaint of unesthetic smile due to fracture and discolored tooth. She gave a history of trauma around 4-5 years back. This case was managed by the customization of fiber reinforced posts which has made a great impact on esthetics and redistribution of stresses along the radicular space and dentin tissue conservation. Thus modern techniques reflect a change from what was once considered prosthodontic procedure to one which marries endodontic principles with sound understanding of mechanical objectives. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13359 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.100-103


2020 ◽  
Vol 9 (2) ◽  
pp. 66
Author(s):  
Adioro Soetojo ◽  
Bintang Adiguna Widjaja

Background: One of the most common aesthetic problems is discoloration and central diastema of the anterior teeth. This can make the patient's appearance disturbed and can lead to confidence in influential patients in the complex interaction of social, cultural and psychological disorders. Purpose: The purpose of this case report is to explain the management of white spot on central incisive with central diastema. Case: A 22 years old woman came to Airlangga Dental Hospital with a chief complaint of shyness and lack of confidence due to some white spot and gap on the two central front teeth. Management: The treatment of white spot and central diastema were done using a partial direct veneer technique. Conclusion: White spot and central diastema treated with partial direct veneer restoration is able to produce good aesthetic results.


2021 ◽  
Vol 7 (3) ◽  
pp. 382-391
Author(s):  
Joselúcia Da Nóbrega Dias ◽  
Endyara Larissa Araújo Pereira e Souza ◽  
Alex José Souza dos Santos ◽  
Isauremi Vieira de Assunção

Introduction: The aesthetic rehabilitation of endodontically treated teeth depends on the degree of destruction of the crown, the tooth in question, the bone support, the type of prosthesis and the types of forces to which these teeth will be submitted. The indirect composite resins have improved physical and mechanical properties thanks to the incorporation of inorganic components and multifunctional monomers with a greater number of bonding points, making them capable of solving the problems in which ceramic restorations would be indicated. Objective: To present a clinical case report of an aesthetic rehabilitation of anterior teeth with indirect composite resin as a viable and less expensive treatment alternative. Case Report: Upon clinical examination, extensive and deficient restorations were observed in the upper anterior teeth. The proposed treatment plan aesthetic rehabilitation of dental elements with ceromeres. Conclusions: This treatment represented a viable and less expensive option that can be used both in situations of great dental destruction and in small dental absences, in substitution for ceramic restorations.


2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Muhammad Dimas Aditya Ari ◽  
Abil Kurdi ◽  
Yonatan Christian Suisan ◽  
Harry Laksono

A 19-year-old female patient came with the chief complaint that the upper anterior teeth looked small and with many spaces. The patient claimed that the tooth had never been replaced since birth. The patient wanted to improve the aesthetics of the tooth. Treatment, in this case, was made using a fixed prosthetic to aesthetically rehabilitate through prosthodontic treatment in the anterior teeth agenesis followed by attrition. It can be concluded that fixed prosthodontic treatment using a splint bridge is one treatment option that can be used in multiple anterior teeth agenesis followed by tooth wear. An appropriate material selection increases the aesthetics and functional aspects of the final treatment.


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