scholarly journals Perawatan Estetik Kompleks Empat Gigi Anterior Maksila dengan Resorpsi Eksternal

2015 ◽  
Vol 1 (2) ◽  
pp. 147
Author(s):  
Tasya Adistya ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Radiographic Examination ◽  
Restorative Dentistry ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Maxillary Incisors ◽  
Traumatic Incident ◽  
Periodontal Probing ◽  
The Ideal

Permasalahan estetik merupakan salah satu hal penting dalam perawatan kedokteran gigi restoratif dan harus sejalan dengan penampilan yang alami serta harmonis berdasarkan prinsip-prinsip estetik. Untuk menginformasikan perawatan restorasi estetik komplek dari empat gigi anterior maksila. Laki-laki berusia 17 tahun datang dengan fraktur insisal karena kecelakaan. Empat tahun yang lalu, gigi tersebut telah dirawat endodontik dan direstorasi dengan mahkota jaket namun tujuh hari yang lalu, mahkota lepas. Pemeriksaan klinis menunjukkan bahwa gigi 11 fraktur horizontal pada sepertiga mahkota. Gigi 21 ditumpat dengan komposit tetapi memiliki anatomi dan warna yang buruk. Terdapat diastema di antara gigi insisivus kiri atas. Semua gigi normal terhadap perkusi, palpasi dan probing periodontal. Radiograf periapikal menunjukkan adanya resorpsi apikal pada gigi 11 dengan radiolusensi apikal dengan diameter 3-4 mm. Setelah pemeriksaan, perawatan yang dilakukan pada gigi 11 adalah retreatment dan apeksifikasi menggunakan MTA, pemasangan pasak komposit indirek dan mahkota jaket PFM. Gigi 21 dan diastema di antara gigi insisivus maksila kiri direstorasi dengan komposit. Gigi 22 juga direstorasi dengan resin komposit untuk mendapatkan lebar ideal. Kontrol 1 bulan menunjukkan gigi asimptomatik, terlihat adanya regenerasi jaringan periapikal dan gigi berfungsi normal. Perawatan keempat gigi anterior maksila dengan mempertimbangkan kondisi estetik dan konservasi sisa jaringan keras gigi menunjukkan keberhasilan sehingga gigi dapat berfungsi normal. ABSTRACT: Aesthetic Treatment of Four Maxillary Anterior Teeth with External Resorption. Esthetic aspect has become increasingly important in the modern restorative dentistry and synonymous with a natural, harmonious appearance based on esthetic principles. This case report aimed to inform the esthetically complex restorative treatment of four maxillary anterior teeth. A 17-year-old male had a fractured incisor following a traumatic incident. Four years earlier, the tooth was treated endodontically and restored with a crown. Seven days ago, the crown fell off. A clinical examination revealed that tooth 11 was horizontally fractured on the mid-third of the crown. Tooth 21 had been previously restored using composite, but it had a bad contour and color. There was also a diastema between left maxillary incisors. All teeth responded normally to percussion and palpation and had normal periodontal probing. A periapical radiograph showed apical resorption at teeth 11 with an apical rarefaction 3-4 mm in diameter. After complete examination and esthetic analysis, several treatments were undertaken. Tooth 11 was retreated using MTA to facilitate the apexification followed by indirect, customized composite post and porcelain-fused-to-metal crown. Tooth 21 and the diastema between the left maxillary incisors were closed using composite resin. Tooth 22 was also restored using composite resin to get the ideal width of the tooth. After 2 weeks, the treated teeth were asymptomatic, radiographic examination demonstrated apparent regeneration of periapicular tissue, and the teeth functioned normally. The teeth were successfully treated by endodontic therapy and restoration with crown and composite resin to restore esthetic problems.

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 .

Técnica de estratificação natural em dente anterior – relato de caso

2021 ◽  
Vol 10 (40) ◽  
pp. 11-15
Author(s):  
Patrícia Ferronato Araújo ◽  
Jessica Tiemi Ribeiro Ishii ◽  
Antonio Setsuo Sakamoto Junior
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Composite Resin ◽  
Dental Trauma ◽  
Restorative Treatment ◽  
Anterior Teeth

Dental trauma injuries occur more frequently in upper anterior teeth, especially in enamel and dentin without pulp involvement. This article presents a clinical case report of a patient dissatisfied with the color of the tooth 21 restoration performed after suffering dental trauma. The format was adequate, so a previous molding of the palatal region was performed, and a condensing silicone guide was made. The use of the palatal guide facilitates the execution of the restoration and guides the layering of selected resins. Following the Natural Stratification concept, this case demonstrated a restorative treatment of direct restorations in composite resin, which can be considered an alternative for fractured anterior teeth, presenting clinical agility and excellent esthetic results.

scholarly journals Esthetic ceramic veneers for spaced anterior teeth utilizing the RED proportion; a case report with three years follow-up

2021 ◽  
Vol 12 (2) ◽  
pp. 46-50
Author(s):  
Haifa Barakah
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Ideal Solution ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
The Ideal

Discrepancy between a large jaw size and small teeth results in a spaced alignment of teeth. Orthodontic treatment to correct such cases will not be sufficient for esthetic results of anterior teeth. Restorative treatment may be the ideal solution to reshape small teeth in well planned proportion to fit the size of the jaw and enhance the appearance of the patient smile. This paper presents the process of restoring spaced anterior teeth with minimally prepared ceramic veneers using the RED proportion.

Minimally Invasive Adhesive Rehabilitation for a Patient With Tooth Erosion: Seven-year Follow-up

2019 ◽  
Vol 44 (1) ◽  
pp. E45-E57
Author(s):  
NI Pavesi Pini ◽  
LM De Marchi ◽  
AL Ramos ◽  
RC Pascotto
Keyword(s):  
Composite Resin ◽  
Tooth Wear ◽  
Restorative Dentistry ◽  
Posterior Teeth ◽  
Main Complaint ◽  
Anterior Teeth ◽  
Prevention And Treatment ◽  
Orthodontic Device ◽  
Scanning Electron

SUMMARY Tooth wear is a multifactorial condition of growing concern. In clinical practice, it is often a challenge for prevention and treatment since many etiological factors may be involved. This case report describes an esthetic rehabilitation of a young patient presenting tooth wear due to erosion. The etiological factor of this case was the patient sucking on lemons, an acidic fruit. The main complaint of the patient was the appearance of short maxillary incisors. The treatment involved orthodontic and restorative dentistry techniques. First of all, an orthodontic device was used to increase the vertical dimension of occlusion and create an adequate space for the direct restorations. The posterior teeth were restored with two direct composite resin techniques; the anterior teeth were then restored using a balanced occlusion. The seven-year follow-up of the case is presented. Replicas of the restorations were made and visualized under scanning electron microscopy up to the 12-month evaluation. In the clinical follow-up at seven years, maintenance of the results and restorations can be clearly seen.

scholarly journals Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : A Case Report

2019 ◽  
Vol 9 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Sanjay Prasad Gupta
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Lateral Incisor ◽  
Incisor Tooth ◽  
Deep Bite ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Common Etiology ◽  
Maxillary Lateral Incisor

Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach.

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.

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 Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report

RSBO ◽  
2017 ◽  
Vol 13 (4) ◽  
pp. 275
Author(s):  
Orides Ferrari Jr ◽  
Fernando Dalitz ◽  
Marina Samara Baechtold ◽  
Ubiracy Gaião Gaião ◽  
Leonardo Fernandes da Cunha ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Multidisciplinary Approach ◽  
Restorative Dentistry ◽  
Periodontal Health ◽  
Anterior Teeth ◽  
Increasing Demand ◽  
Resin Restorations

Esthetic rehabilitations require a broad and thorough evaluation of all the elements that make up the smile such as lips, dental, and periodontal structures to plan the treatment to provide harmony to the whole set. Objective: To demonstrate through a case the association of Periodontics and Restorative Dentistry in the esthetic rehabilitation of anterior teeth replacing resin restorations by modifying the gingival architecture conservatively and harmonically. Case report: It is essential for a multidisciplinary approach to succeed in treatment. The replacement of previous restorations is an increasing demand in currently clinical practice, for many reasons, mainly due to dissatisfaction with the esthetics. It is observed that many of these patients involve not only dissatisfaction with the dental structure but also with the periodontal health, for this reason, it is necessary a previous adaptation of the gingival tissues for proper restorative rehabilitation. Conclusion: Ceramic laminates have proved to be a great choice for anterior teeth restorations, but they must be indicated in specific situations, to obtain excellent results as most conservative as possible.

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.

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