Laminados minimamente invasivos na reabilitação estética anterior

2020 ◽  
Vol 9 (35) ◽  
pp. 40-46
Author(s):  
Gil Montenegro ◽  
Ricardo Lellis Marçal ◽  
Tarcisio Pinto

The search for a harmonious smile associated with minimally invasive and painless procedures, made the ceramic laminates take on a prominent role in facial aesthetics and consequently in smile aesthetics. The advances in adhesive techniques, ceramic materials and technologies associated with their manufacture, have made ceramic contact lenses a safe and predictable alternative for rehabilitation in cases of dental diastemas, restoring color, shape and position in the arch. Therefore, this case report aimed to demonstrate the application of porcelain veneers in closing diastemas in order to optimize the treatment. It was observed, with the clinical case presented, a very satisfactory result from the aesthetic and functional point of view.

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Andrea E. Borgonovo ◽  
Simone L. M. Galbiati ◽  
Dino Re

The purpose of this work is to describe a clinical case of full-arch mandible rehabilitation with a fixed prosthesis on three implants. The chosen protocol is the Trefoil system by Nobel (Nobel Biocare, Zurich, Switzerland) that allows to realize a mandibular fixed rehabilitation on three particularly designed fixtures through the use of prefabricated surgical guides and a preassembled bar on which the prosthesis is built. Both surgical and prosthetic procedures were completed without complications, and after 30 months, the rehabilitations are in good health conditions. The patient is able to maintain a good level of hygiene and is satisfied with the work from an aesthetic and functional point of view.


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.


2018 ◽  
Vol 69 (8) ◽  
pp. 2191-2196
Author(s):  
Cristian Constantin Budacu ◽  
Nicoleta Ioanid ◽  
Cristian Romanec ◽  
Mihail Balan ◽  
Liliana Lacramioara Pavel ◽  
...  

Canine plays an important role in the dento-maxillary system. From a functional point of view, it provides the canine guidance, by positioning it in the frontal area, has a role in facial aesthetics. It plays an important prosthetic role by having the longest root and one of the longest arcade teeth. Three molars represent the last teeth that erupt in the arches both in the jaw and in the mandible, which is why they remain the most frequently included.Canine incidence is quite common following the wisdom tooth. It can be unilateral or bilateral and is more common in the upper jaw. The canine may remain included at the vestibular, palatal or between the two bones. A separate entity is the incision of the canine in the edentulous mandible or jaw. The study included 213 cases with dento-alveolar pathology, of which 128 patients were selected with dental inclusion. Our study reports that the first three molars are frequent, followed by the canine as opposed to other studies conducted by Guzduz K in 2011 and Fardi A of the same year bringing the canines first (Fardi, Guzduz). Some studies attribute the first place to the superior canine in terms of frequency, but they are abstracted from the molar three inclusion that they consider as most frequently (Compoy). The most common tooth in inclusion is the third molar (lower and upper) followed by the upper canine; the most commonly affected are women for both canine and molar.


Author(s):  
Juan Carlos Ramírez Barrantes DDS, MSD, PhD

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.


Author(s):  
Nélio Manoel Luiz de SÁ JÚNIOR ◽  
Silvana Maria Orestes CARDOSO

ABSTRACT Objective: To analyze the self-perception that older adults have about rehabilitation regarding their uni or bimaxillary dentures. Methods: A form was applied to investigate the sociodemographic, economic and medical-dental variables of the users, a questionnaire to assess the satisfaction level of patients with their dentures, another to investigate the technical quality of the dentures from the aesthetic-functional point of view, and the Oral Health Impact Profile (OHIP-14) to ascertain the impact of prosthetic rehabilitation on the quality of life of users. Results: The majority of the participants (65.2%) used complete bimaxillary dentures, reported dissatisfaction during chewing, while the lower dentures had unsatisfactory technical quality for the retention requirements (69.6%) and stability (69.6%). The older adults’ complaints were predominantly related to the “physical pain” and “physical disability” domains. There were significant associations between general satisfaction with the dentures in use, their general technical quality and the OHIP-14 domains. Conclusion: The patient complaints were related to difficulties in their ability to chew, speak and with the retention and comfort of the lower dentures. The technical quality of the dentures had compromised retention and stability from the aesthetic-functional point of view. Dentures considered unsatisfactory caused negative impacts on the quality of life of users, especially in comfort during meals which was related to difficulty chewing and swallowing. The association between the instruments used in the study provides important tools for the performance of dental surgeons, in addition to enabling more adequate planning in the oral health services offered to the population.


RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 62
Author(s):  
Jeferson Luis de Oliveira Stroparo ◽  
Fabrício Guimarães Rodrigues ◽  
Moira Pedroso Leão ◽  
Dilcele Silva Moreira Dziedzic ◽  
João César Zielak

Introduction: Rehabilitation with the use of overlay-type removable prostheses is indicated in cases of more severe occlusal dysfunction. This type of treatment meets the need for more immediate results, providing aesthetic improvement while the rehabilitation work is being done, while promoting the gradual rehabilitation of occlusal function, re-adjusting the intermaxillary relationship. In addition, the patient can anticipate the final result of the treatment beforethe definitive prosthesis is made. Objective: To show a clinical case of planning and execution of removable overlays. Case report: JCF patient had occlusal dysfunction and presented as main complaint the aesthetic and functional deficiency. He used a removable partial denture (PPR) only on the upper arch. The existing prosthesis did not present stability due to the loss of some dental elements, pillars of the PPR. Two overlays (upper and lower) were indicated because the patient had good periodontal conditions in the remaining dentalelements that were in a favorable position. Necessary exodontia, adequacy of the buccal environment with sub and supragingival scaling and the fabrication of overlays were performed. Conclusion: The use of temporary overlays can provide the necessary time for the patient to adapt to the new occlusal conformation in the period in which the restorations and definitive prostheses are expected to be performed. The use of overlays presented a satisfactoryresult for the proposed treatment, since it promoted the functional rehabilitation, restored aesthetic, even temporarily, and motivated the patient to continue the treatment. According to the patient, there were significant improvements in chewing quality and self-esteem.


2021 ◽  
Vol 1 (4) ◽  
pp. 232-242

The replacement of a single maxillary central incisor is a unique prosthodontic challenge from esthetic as well as a functional point of view. Loss of anterior teeth with existing natural diastema presents problems such as increased mesiodistal space available for pontic which makes it very difficult to give conventional fixed prosthesis with rigid connector and wider pontics can be very unesthetic to look in the esthetic zone. This clinical situation is a major challenge for a prosthodontist; leaves him in a dilemma whether to close the space or to maintain it in a final fixed prosthesis simulating the natural tooth appearance. If implant-supported prosthesis is not possible fixed partial denture along with loop connector is the best solution to maintain the existing diastema and esthetics. This article presents a case report where fixed partial denture along with loop connector was used to achieve esthetic rehabilitation in maxillary anterior region maintaining natural existing diastema.


2021 ◽  
Vol 2 (6) ◽  
pp. 36-42
Author(s):  
Kananda Desbesel de Carvalho ◽  
Beatriz Rodrigues Póvoa

Wired facial lifting is a minimally invasive technique that allows for a quick lifting effect. The aim of this study is to address the effectiveness of spiked Polydioxanone (PDO) threads (cog) for facial rejuvenation of the lower third of the face, through a clinical case report. The methodology was characterized by a brief bibliographic review, through an electronic search in the databases: Pubmed, Lilacs, Cochrane and bibliographic bases published in the USA and Brazil, associated with a clinical case report, making it possible to compare it with data from the literature on complications, safety and efficacy in the short and medium term. It is concluded that the aesthetic treatments seek to soften the signs of time and rescue the elasticity and firmness of the dermis. For this, it is necessary to elucidate the physiological effects, providing opportunities for safe treatment.


2016 ◽  
Vol 64 (1) ◽  
pp. 83-86
Author(s):  
Eneane MIRANDA ◽  
Luciene Dornas MENDES ◽  
Sérgio Milton Martins de Oliveira PENIDO ◽  
Cláudia Valéria de Sousa Resende PENIDO

ABSTRACT Mesiodens is the term used for describing the supernumerary tooth that occurs in the maxilla, between the central incisors, in the midline region. These may erupt in the oral cavity or keep themselves impacted. Their presence causes cleaning inadequate, impossibility or difficult of the eruption of the regular teeth and having the aesthetic compromised. This paper aims at showing that early identification of supernumerary teeth, planning and correct approach, allow the preservation of the teeth and adjacent structures. This article presents the clinical case of a seven-year-old child, male, who sought for treatment complaining that teeth 11 didn't appear in the buccal cavity. Clinical and radiographic exams were done and they demonstrated the presence of the supernumerary tooth. The plan of treatment aimed at the correct localization, extraction of this supernumerary tooth and continuous follow up of the case.


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.


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