A Conservative Technique for Repairing Class IV Composite Restorations

2017 ◽  
Vol 42 (1) ◽  
pp. E10-E15 ◽  
Author(s):  
VC Ruschel ◽  
SC Stolf ◽  
S Shibata ◽  
LN Baratieri

SUMMARY Composite resin may make a restoration noticeable as time passes, on account of its color instability. The repair technique is a minimally invasive treatment for class IV composite resin restorations that show unsatisfactory coloration. Thus, the objective of the present article was to report a clinical case involving a conservative technique used for repairing a class IV composite resin restoration in the left maxillary central incisor and the replacement of a class IV restoration in the right maxillary central incisor.

Author(s):  
Soner Şişmanoğlu DDS, PhD

Defects that occur during the development of anterior teeth are often associated with aesthetic problems. Although enamel hypomineralization does not significantly increase the risk of caries, it causes patients to experience psychosocial problems. A 23-year-old female patient presented to our clinic complaining of white opacity and discolorations in her anterior teeth.  After the systemic and dental anamnesis of the patient, minimally invasive treatment of resin infiltration was planned. In addition, anterior composite resin restorations with impaired color matching was renewed. The patient was recalled 13 months after the treatment. A significant decrease was observed in the appearance of enamel hypomineralizations. The patient was satisfied with the outcome of the treatment. Furthermore, the durability of the treatment after 13 months is satisfactory.


2016 ◽  
Vol 1 (1) ◽  
pp. 54
Author(s):  
Caecilia Lelia Rahmawati ◽  
Tunjung Nugraheni

Trauma pada gigi yang dialami pada saat muda dapat menyebabkan gigi immature non vital dengan apek terbuka, yang berlanjut pada infeksi pada jaringan pulpa dan diskolorasi gigi. Laporan kasus ini menyajikan penggunaan MTA (Mineral Trioxide Aggregate) sebagai bahan apeksifikasi, perawatan bleaching intrakoronal serta restorasi resin komposit dengan pasak resin komposit aktivasi kimia pada gigi insisivus sentralis kanan maksila, sehingga dapat mempertahankan dan mengembalikan fungsi gigi. Seorang pasien wanita muda datang ke RSGM Prof. Soedomo untuk merawatkan gigi insisivus sentralis kanan maksila yang patah 11 tahun yang lalu karena jatuh. Diagnosa gigi insisivus sentralis kanan maksila fraktur Kelas IV Ellis, pulpa nekrosis dengan lesi periapikal, apeks terbuka, dan diskolorasi. Prosedur perawatan diawali dengan preparasi saluran akar teknik konvensional, apeksifikasi menggunakan MTA dan bleaching intrakoronal teknik walking bleach, restorasi resin komposit kavitas kelas IV dengan teknik mock up dan pasak resin komposit. Apeksifikasi dan bleaching intra koronal disertai pasak dan restorasi resin komposit adalah perawatan yang baik yang dapat dilakukan pada gigi insisivus sentralis kanan maksila imature, dengan pulpa terbuka dan diskolorasi. Pasien merasa puas dengan perawatan yang telah dilakukan dan fungsi gigi juga telah dapat dikembalikan, antara lain fungsi estetik dan fonetik. ABSTRACT: Apexification Using Mineral Trioxide Aggregate, Intracoronal Bleaching, and Composite Resin Restoration with Dental Composite Resin Posts Right Central Maxillary. Trauma to teeth in a young age can cause non vital immature teeth with open apex, which leads to the infection in the pulp tissue and discoloration of the teeth. This case report is to present the use of MTA (Mineral Trioxide Aggregate) as apexification material, intracoronal bleaching treatments and composite resin restorations with composite resin chemical activation posts on the maxillary right central incisor, so as to maintain and restore tooth function. A young female patient came to Prof. Soedomo Dental Hospital to repair right maxillary central incisors which were broken 11 years previously because of falling. The diagnosis was right maxillary central incisor Ellis Class III fractures, pulp necrosis with periapical lesions, open apex, and discoloration. The treatment procedure began with the conventional root canal preparation techniques, apexification using Mineral Trioxide Aggregate (MTA) and intracoronal bleaching with the technique of walking bleach. The composite resin restorations class IV cavities used a mock-up technique and composite resin post. Apexification and intra-coronal bleaching with post and composite resin restorations are good treatments that can be performed on the immature right maxillary central incisor, without exposing pulp and discoloration. The patient was satisfied with the care that had been done and also; the function of her teeth could be restored, including aesthetic and phonetic functions.


2019 ◽  
Vol 44 (1) ◽  
pp. 1-7 ◽  
Author(s):  
GB Rauber ◽  
CMC Taguchi ◽  
ACL Padilha ◽  
RC de Re Silveira ◽  
JK Bernardon ◽  
...  

SUMMARY Fractured teeth with both enamel and dentin involvement might be treated with adhesive composite resin restorations. In cases where a perfect color match between the composite restoration and the remaining tooth structure is not achieved, a repair might be carried out to correct the color of restoration. This procedure avoids the restoration replacement, preserving tooth structure without compromising the esthetic outcome.


2021 ◽  
Vol 12 (47) ◽  
pp. 8-15
Author(s):  
Tárcio Hiroshi Iskimine Skiba

The use of dental implants in dentistry is becoming increasingly widespread and popular for the treatment of patients with doomed dental elements. The biotechnology applied to the development of macro and micro design of implants allows its use in increasingly borderline beds, such as in post-extraction sockets with reduced bone remainder, and may even allow the making of provisionals in order to confer aesthetics and help in maintenance of support tissues. This paper aims to present a clinical case report of minimally invasive extraction of a maxillary central incisor with root fracture, immediate implantation in a post-extraction socket, subepithelial connective tissue graft and lyophilized bovine bone to fill the GAP, as a pillar installation. angled and immediate provisional. The technique proved to be effective and satisfactory, I try in the aesthetic aspect as to the functional, promoting the health and stability of the adjacent tissues.


Author(s):  
Emily Freitas da Silva ◽  
Dayane Melo ◽  
Anaclécia Batista ◽  
Jeane Lisboa ◽  
Rosana Fonseca ◽  
...  

The repair of composite resin restoration is a clinical procedure feasible and allows the removal of the engaged restoration without requiring complete replacement, and thus allowing the conservation of healthy tooth structure. The decision to keep part of the restoration and the clinical protocol of repair should be carefully evaluated and implemented to increase the predictability of the procedure. The bond between the old restoration surface and the composite resin to be added is based on the chemical and mechanical connection between these composites. The micromechanical preparation of the composite in combination with phosphoric acid and the use of fluid resin to improve the wetting of the surface increase the bond strength and efficiency of repair technique between composites. This study aimed to describe the technique of posterior tooth repair, performed in a composite resin restoration, describing the clinical protocol, the advantages and limitations of the technique.


2008 ◽  
Vol 33 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Dror Aizenbud ◽  
Yael Pery Front

An odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. This report presents a case of an unerupted malformed primary central incisor, histologically diagnosed as a compound odontoma. A 5.5 year-old healthy boy presented with an unerupted maxillary left primary central incisor and mild gingival buccal swelling. No history of traumatic injury was recorded. Radiological examination revealed a tooth-like mass with a partially developed root and a malformed crown in the area of the left primary central incisor. Delayed development of the successor left permanent incisor in comparison to the right one was noted. The rational for early surgical intervention to enable normal development and eruption of permanent incisors is described. Clinical and radiographic diagnoses as well as several etiological factors and a differential diagnosis are considered and reviewed.


2012 ◽  
Vol 13 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Soodabeh Kimyai ◽  
Siavash Savadi Oskoee ◽  
Amir Ahmad Ajami ◽  
Mahmoud Bahari ◽  
Mehdi Abed Kahnamoui ◽  
...  

ABSTRACT Aim The aim was to evaluate the effects of Oral-B (OB), Listerine (LN) and Rembrandt Plus (RM) mouthrinses on microleakage of composite resin restorations bonded with two adhesive systems after bleaching with 10% carbamide peroxide. Materials and methods A total of 60 Cl V cavities were prepared on human premolars. The occlusal and gingival margins were placed 1 mm occlusal to and apical to CEJ respectively. The teeth were randomly divided into two groups based on the adhesive system used: Excite (EX) and Clearfil SE Bond (CSE) groups. After composite resin restoration of cavities, thermocycling and bleaching with 10% carbamide peroxide for 2 hours daily for 14 days, the teeth in each adhesive group were further subdivided into three subgroups and were immersed for 12 hours in the three OB, RM and LN mouthrinses. The teeth were then placed in 2% basic fuschin for 24 hours. After dissecting the teeth, microleakage was evaluated under a stereomicroscope at 16×. Data was analyzed with multifactor ANOVA and Bonferroni test at p < 0.05. Results Microleakage with EX was significantly higher than that with CSE (p = 0.009). Microleakage at gingival margins was significantly higher than that at occlusal margins (p = 0.15). Microleakage with OB was higher than that with LN (p = 0.02). However, there were no significant differences in microleakage between LN and RM (p = 1) and between RM and OB (p = 0.15). In addition, with the EX adhesive system, microleakage with OB was higher than that with LN and RM (p = 0.02). Conclusion In the present study, microleakage of composite resin restorations was influenced by the type of the adhesive system, mouthrinse type and the location of the cavity margin. Clinical significance Use of some mouthrinses, such as OB after bleaching can increase postrestoration microleakage of resin composite restorations bonded with etch-and-rinse adhesive systems. How to cite this article Ajami AA, Bahari M, Oskoee SS, Kimyai S, Kahnamoui MA, Rikhtegaran S, Ghaffarian R. Effect of Three Different Mouthrinses on Microleakage of Composite Resin Restorations with Two Adhesive Systems after Bleaching with 10% Carbamide Peroxide. J Contemp Dent Pract 2012;13(1):16-22.


2013 ◽  
Vol 07 (02) ◽  
pp. 229-232 ◽  
Author(s):  
Huseyin Tezel ◽  
Cigdem Atalayin ◽  
Gul Kayrak

ABSTRACTThe aim of this report is to present the case of an accidentally avulsed maxillary central incisor kept in saline solution from the moment of trauma until its replantation 3 h later in a 13-year-old girl. The avulsed tooth was replanted back into the alveolar socket and splinted with composite resin. Calcium hydroxide intracanal dressing was used to prevent inflammatory root resorption. Radiographic and clinical examinations were performed during 27 months follow-up. During the 15 months follow-up period, the tooth remained in a stable functional position and did not reveal replacement resorption. But mild infraocclusion and root resorption were developed 21 months after replantation. The amount of damage to tooth and supporting structures, emergency treatment and follow-up period play a role in the prognosis of the avulsed tooth. It can be recommended to keep the avulsed tooth in saline solution at least when more appropriate storage media are not on handle immediately.


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