scholarly journals Conservative Restoration of Worn Mandibular Anterior Teeth Combining Gingival Repositioning and a Template Matricing Technique

2015 ◽  
Vol 40 (5) ◽  
pp. 462-469
Author(s):  
HA St Germain ◽  
JF Jenkins
Keyword(s):  
Resin Composite ◽  
Gingival Tissue ◽  
Medium Term ◽  
Crown Height ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Occlusal Vertical Dimension ◽  
Conservative Restoration ◽  
Crown Lengthening ◽  
Composite Restoration

SUMMARY Conservative resin composite restoration of worn mandibular anterior teeth may offer an alternative option to full-coverage restorations for the patient. Assessment of the occlusal condition is critical because alterations in occlusal vertical dimension may not always be possible. By exposing additional coronal tooth structure, periodontal crown-lengthening procedures can serve to increase clinical crown height when adequate attached gingival tissue is present and supra-eruption has likely occurred. Fabrication of a custom template made from a diagnostic mock-up with proximal stainless steel matrices helps contribute to a predictable restorative result and improves chairside efficiency for the dental practice. By combining gingival crown lengthening, bonding of resin composite material, and selective occlusal adjustment; a short to medium-term, conservative option can be made available for the patient.

scholarly journals COMPOSITE BUILD-UP-CONSERVATIVE RESTORATION FOR A PERFECT SMILE.

2020 ◽  
Author(s):  
Rahul Koppaka
Keyword(s):  
Resin Composite ◽  
Radiographic Evaluation ◽  
Success Rates ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Size Discrepancy ◽  
Tooth Form ◽  
Crown Preparation ◽  
Conservative Restoration

BRIEF BACKGROUND The personality of a person is greatly influenced by their smile. Imperfections in the appearance of anterior teeth can reduce a person’s confidence and aesthetics. This case report represents the rehabilitation of a patient with severe tooth deformation in the upper and lower anterior teeth region. The tooth structure was not enough to support porcelain crowns, so Resin Composite was used to build up the tooth and it was supported using a periodontal splint. MATERIALS AND METHODS Clinical examination and radiographic evaluation showed a tooth form-size discrepancy. Due to the lack of tooth structure available for crown preparation, Resin Composite material was used to build up the tooth structure. everStick by GC was used as a periodontal splint to support the structure. DISCUSSION Resin Composite is one of the most conservative and aesthetic techniques available for restoring tooth structure. The different hues and shades available help it to provide a seemingly natural looking restoration. This helps in rehabilitation of a decrepit smile. Long term studies showed high success rates. Failure was seen in patients with paranormal muscle activity like bruxism and in bonding on pre-existing composite restorations. Marginal discolouration was seen in patients with tobacco habits (smoking and smokeless forms). SUMMARY AND CONCLUSION Composite build-up of teeth is a viable option for restoring tooth structure when the case demands aesthetic needs in both young and adult patients. The amount of tooth structure conserved is also much greater than with porcelain crowns. Cost of treatment is also significantly lower. KEY WORDS Composite, Aesthetics, Smile, Conservative treatment, everStick by GC.

scholarly journals Comparing Zirconia to Anterior Strip Crowns in Primary Anterior Teeth in children, A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A AbdelBaki ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background: Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. This study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods: Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). The presented research was registered retrospectively at ClinicalTrials.gov in 6th of August 2017, under registration number NCT03184012.Results: Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p<0.006, p<0.001; respectively), less plaque accumulation at all follow up visits (p<0.001), no restoration failure (p<0.001), but more wear to opposing teeth (p<0.02). No significant difference was found between the two crowns with regards to recurrent caries (p<0.135).Conclusion: Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.

Masking of Enamel Fluorosis Discolorations and Tooth Misalignment With a Combination of At-Home Whitening, Resin Infiltration, and Direct Composite Restorations

2017 ◽  
Vol 42 (4) ◽  
pp. 347-356 ◽  
Author(s):  
J Perdigão ◽  
VQ Lam ◽  
BG Burseth ◽  
C Real
Keyword(s):  
Resin Composite ◽  
Potassium Nitrate ◽  
Clinical Report ◽  
Carbamide Peroxide ◽  
Resin Infiltration ◽  
Orthodontic Therapy ◽  
Composite Restorations ◽  
Anterior Teeth ◽  
Composite Restoration ◽  
At Home

SUMMARY This clinical report illustrates a conservative technique to mask enamel discolorations in maxillary anterior teeth caused by hypomineralization associated with enamel fluorosis and subsequent direct resin composite to improve the anterior esthetics. The treatment consisted of at-home whitening with 10% carbamide peroxide gel with potassium nitrate and sodium fluoride in a custom-fitted tray to mask the brown-stained areas, followed by resin infiltration to mask the white spot areas. An existing resin composite restoration in the maxillary right central incisor was subsequently replaced after completion of the whitening and resin infiltration procedures, whereas the two misaligned and rotated maxillary lateral incisors were built up with direct resin composite restorations to provide the illusion of adequate arch alignment, as the patient was unable to use orthodontic therapy.

scholarly journals Anterior teeth rehabilitation with direct resin composite veneer using multiple layering technique: A case report

2021 ◽  
Vol 2 (1) ◽  
pp. 56-61
Author(s):  
Muhammad Nur Izham Khairuddin ◽  
Pengiran Muhammad Badi'uzzaman Awang Iskanderdzulkarnein ◽  
Mohd Haikal Mohd Halil
Keyword(s):  
Case Report ◽  
Resin Composite ◽  
Tooth Structure ◽  
Aesthetic Result ◽  
Anterior Teeth ◽  
Direct Technique ◽  
Multiple Visit ◽  
Cost Treatment ◽  
Tooth Preparation ◽  
Indirect Technique

Cosmetic veneer has become a popular option for patients seeking to improve aesthetic in their smile. The procedure can be done through a direct or indirect technique which differs in term of material used and laboratory involvement. Despite producing a better aesthetic result than its direct technique counterpart, high-cost treatment, multiple visit requirement and invasive nature of tooth preparation are proven to be a stumbling block to the patient in some cases to choose indirect technique. Therefore, direct composite veneer technique can be offered due to its low costing and conservative concept which advocates more tooth structure preservation. This case report is about direct composite veneer for anterior teeth rehabilitation and its simple and conservative protocol.

scholarly journals Glass Fibre-Reinforced Composite Post and Core Used in Decayed Primary Anterior Teeth: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Leena Verma ◽  
Sidhi Passi
Keyword(s):  
Early Childhood ◽  
Glass Fibre ◽  
Early Childhood Caries ◽  
Resin Composite ◽  
Treatment Options ◽  
Anterior Teeth ◽  
Reinforced Composite ◽  
Glass Fibre Reinforced ◽  
Composite Restoration ◽  
Childhood Caries

Aesthetic requirement of severely mutilated primary anterior teeth in the case of early childhood caries has been a challenge to pediatric dentist. Among restorative treatment options, prefabricated crown and biological and resin composite restoration either by means of direct or indirect technique are mentioned in the literature. This paper presents the clinical sequence of rehabilitation of maxillary anterior primary teeth. Endodontic treatment was followed by the placement of a glass fibre-reinforced composite resin post. The crown reconstruction was done with composite restoration. Resin glass fibre post has best properties in elasticity, translucency, adaptability, tenaciousness, and resistance to traction and to impact. Along with ease of application, fiber can be used as an alternative to traditionally used materials in the management of early childhood caries.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Developmental Anomalies ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

scholarly journals Molar incisor hypomineralization: an aesthetic conservative restorative approach

2016 ◽  
Vol 64 (2) ◽  
pp. 186-192
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Rahyza Inácio Freire de ASSIS ◽  
Flávia Bittencourt PAZINATTO
Keyword(s):  
Color Change ◽  
Resin Composite ◽  
Well Being ◽  
Psychological State ◽  
Tooth Structure ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Low Degree ◽  
Molar Incisor Hypomineralization ◽  
And Function

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.

scholarly journals Restoration Repair as a Contemporary Approach to Tooth Preservation

2019 ◽  
Vol 8 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Igor R. Blum
Keyword(s):  
Clinical Setting ◽  
Resin Composite ◽  
Evidence Based ◽  
Operative Techniques ◽  
Tooth Structure ◽  
Growing Body ◽  
Insight Into ◽  
Contemporary Approach ◽  
Composite Restoration

Despite the growing body of evidence-based knowledge, evidence-based restoration repair is not always applied in the clinical setting. This article is intended to give an evidence-based insight into the indications, importance, benefits and long-term success of resin composite restoration repair, together with details of relevant operative techniques aimed at conserving as much sound tooth structure as possible.

Effect of Cigarette Smoke on Resin Composite Bond Strength to Enamel and Dentin Using Different Adhesive Systems

2016 ◽  
Vol 41 (3) ◽  
pp. E57-E63 ◽  
Author(s):  
JD Theobaldo ◽  
A Catelan ◽  
U Rodrigues-Filho ◽  
GM Marchi ◽  
DANL Lima ◽  
...  
Keyword(s):  
Bond Strength ◽  
Cigarette Smoke ◽  
Resin Composite ◽  
Single Bond ◽  
Adhesive Systems ◽  
Tooth Structure ◽  
Composite Resin Restorations ◽  
Microshear Bond Strength ◽  
Intermediate Value ◽  
Composite Restoration

SUMMARY Objective: To evaluate the microshear bond strength of composite resin restorations in dental blocks with or without exposure to cigarette smoke. Method: Eighty bovine dental blocks were divided into eight groups (n=10) according to the type of adhesive (Scotchbond Multi-Purpose, 3M ESPE, St Paul, MN, USA [SBMP]; Single Bond 2, 3M ESPE [SB]; Clearfil SE Bond, Kuraray Medical Inc, Okayama, Japan [CSEB]; Single Bond Universal, 3M ESPE [SBU]) and exposure to smoke (no exposure; exposure for five days/20 cigarettes per day). The adhesive systems were applied to the tooth structure, and the blocks received a composite restoration made using a matrix of perforated pasta. Data were statistically analyzed using analysis of variance and Tukey test (α&lt;0.05). Results: For enamel, there was no difference between the presence or absence of cigarette smoke (p=0.1397); however, there were differences among the adhesive systems (p&lt;0.001). CSEB showed higher values and did not differ from SBU, but both were statistically different from SB. The SBMP showed intermediate values, while SB demonstrated lower values. For dentin, specimens subjected to cigarette smoke presented bond strength values that were lower when compared with those not exposed to smoke (p&lt;0.001). For the groups without exposure to cigarette smoke, CSEB showed higher values, differing from SBMP. SB and SBU showed intermediary values. For the groups with exposure to cigarette smoke, SBU showed values that were higher and statistically different from SB and CSEB, which presented lower values of bond strength. SBMP demonstrated an intermediate value of bond strength. Conclusion: The exposure of dentin to cigarette smoke influenced the bonding strength of adhesives, but no differences were noted in enamel.

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