Estratificação, acabamento e polimento de resinas compostas em restaurações de dentes anteriores fraturados – relato de casos

2021 ◽  
Vol 10 (40) ◽  
pp. 16-22
Author(s):  
Ana Carolina Portes Pasmadjian ◽  
Gabriela Resende Allig ◽  
Patricia Ferronato Araújo ◽  
Fernanda Cristina Pimentel Garcia ◽  
Leonardo Fernandes da Cunha

Objective: The objective of the present study was to present, through two clinical cases, the direct stratification technique and the sequence of finishing and polishing of composite resin restorations on fractured anterior teeth. Case reports: In the first case, an 11-year-old female patient fractured the upper central incisors. In the second, a 6-year-old female patient fractured the left upper central incisor. A detailed description of the layering technique, materials, and instruments available was presented, not only for the restoration itself but also for finishing and polishing. In both cases, the tooth fragment was lost, so it was decided to use the technique of direct restoration with composite resin. Discussion: The composite resin restores the tooth structure with excellent optical results, long-term predictability is obtained, in addition to being a conservative way to restore the aesthetics and function of fractured anterior teeth. Conclusion: The technique performed provided a satisfactory aesthetic and functional result that, consequently, improved the patient’s self-esteem.

2019 ◽  
Vol 4 (2) ◽  
pp. 38-39
Author(s):  
Reena Rani ◽  
◽  
Sanjay Chachra ◽  
Manu Sharma ◽  
Samriti Bansal ◽  
...  

Background: Trauma to the anterior teeth is common in young children and in adolescents. Uncomplicated crown fracture to the permanent teeth has an intense effect not only on the patient’s esthetics, but also on speech and function. Aim: Performing an economical, a minimally invasive, time-saving, long lasting, functional and natural alike direct composite resin restorations in a single visit. Conclusion: As restoring a fractured tooth structure is a complex procedure, this technique can prove to be a simple, effective and appropriate technique that will fulfill all the requirements of dental practioner without requiring special skills in providing the patients with direct composite restorations. Clinical Significance: This technique is economical which requires less chair side time compared to indirect restorations.


Author(s):  
Rafaela Cavalcanti AMARAL ◽  
Ivana Aguiar FERREIRA ◽  
Soraya Cristhina de Souza CAMPELLO ◽  
Ana Flávia Bissoto CALVO ◽  
Tamara Kerber TEDESCO ◽  
...  

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.


Symmetry ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 1848
Author(s):  
Inês Amaro ◽  
José Saraiva ◽  
Ana Catarina Gomes ◽  
Ana Araújo ◽  
Carlos Miguel Marto ◽  
...  

Esthetics is an increasing concern for patients, particularly in anterior teeth. The current approaches to manage the esthetic demands include options such as prosthodontic rehabilitation, orthodontic treatment, and direct restorations. Direct restorative procedures for anterior teeth have become a reliable alternative, since current composite materials can mimic teeth’s esthetics and function perfectly. This article describes two clinical cases of anterior esthetic rehabilitations where the direct reshaping of the four maxillary incisors was performed using the buccolingual layering technique with the help of a silicone index. In Case 1, a diastema closure was also performed, whereas in Case 2, the replacement of old restorations was also carried out. It was possible to achieve excellent final esthetic results in both cases, recovering the smile symmetry, and both patients were satisfied. The literature supports the use of direct restorations in the anterior region with very good long-term prognosis. It is a minimally invasive approach that is reversible, repairable, cost-effective, and when combined with layering techniques and adequate restorative materials, it is possible to achieve good esthetic and functional outcomes. However, regular maintenance appointments are mandatory, and all cases should be carefully planned to ensure predictable and long-lasting results.


2019 ◽  
Vol 22 (1) ◽  
pp. Process
Author(s):  
Priscila Regis Matos Pedreira ◽  
Janaina Damasceno ◽  
Josué Pierote ◽  
Diogo Dressano ◽  
Giselle Maria Marchi

Patient demand looking for the perfect smile has been steadily growing in the last few years. Thus, these two case reports discuss some ultra-conservatives approach to achieve good esthetic results. In the first case the clinical protocol of a restorative approach is described, the cosmetic remodeling of the teeth and in the second case, the replacement of extensive unsatisfactory composite restorations. The treatment planning was based on diagnostic waxing and the making of mock-up in both cases. Teeth bleaching were also performed before restoration. To conclude, these conservative relative therapies with composite resin restorations provide an ultra-minimally invasive protocol with excellent esthetic appearances and fuction, especially for young people. KeywordsDental esthetics; Composite resins; Smiling; Restoration.


2019 ◽  
Vol 7 (1) ◽  
pp. 27-32
Author(s):  
Zieta Sakinah Emdi ◽  
Reni Nofika

Root canal treatment aims to maintain the condition of the teeth in order to keep them functioning. In practice, the treatment procedure does not always run smoothly, the operator can face undesirable conditions that can affect the prognosis of treatment. A common procedural error during root canal treatment is a lateral root perforation which must be treated immediately to avoid further damage. The success of the perforation treatment is determined by the materials used. One of the bicompatible materials to seal lateral perforations using MTA (mineral trioxide aggregate). Successful root canal treatment affects treatment outcomes, so proper restoration is required to reduce the risk of marginal leakage. The choice of final restoration in post-root canal treatment depends on the amount of remaining tooth structure, horizontal pressure and chewing load. For post-root canal treatment anterior teeth with intact marginal edges, direct restoration can be performed using composite resin


Author(s):  
Pâmella Coelho DIAS ◽  
Fernanda Blanco Machado Junqueira FRANCO ◽  
Regina Guenka PALMA-DIBB ◽  
Rafael Cândido Pedroso e SILVA ◽  
Juliana Jendiroba FARAONI

ABSTRACT An ideal aesthetic standard consists of facial and smile harmony. Discolored teeth generally cause an imbalance in facial aesthetics, leading to low self-esteem and disturbance in social relationships. Causes of teeth discoloration are classified as intrinsic or extrinsic. Bleaching is considered a safe and effective treatment for discolored nonvital teeth and can be associated with restorative treatment to properly correct the dental color and maximize the aesthetic results. This paper aims to present two case reports of single discolored nonvital anterior teeth and the protocol used to reestablish the dental harmony of these patients by bleaching and direct composite resin restoration. To exert minimally invasive dentistry is very important to preserve tooth structure and reduce the risk of fracture. Internal bleaching, although may not be sufficient to reestablish the aesthetic in some cases, it is important to minimize dental preparation to perform an indirect or direct restoration. Dentists must take into account the patients expectations, dominate the restorative technique and know the dental materials to properly be able to restore function and aesthetics and consequently improve life quality and social relationships.


2019 ◽  
Vol 44 (4) ◽  
pp. E159-E166 ◽  
Author(s):  
CRF Yanikian ◽  
F Yanikian ◽  
D Sundfeld ◽  
RBE Lins ◽  
LRM Martins

SUMMARY Direct composite resin veneers are a practical esthetic restorative treatment for reestablishing the shape and color of affected anterior teeth. The present clinical case reports aim to describe restorative treatment techniques for nonvital anterior teeth presenting color alteration. The direct composite resin layering technique has proven to be an efficient method for recovering the esthetics of darkened teeth. The direct vs indirect restorative treatments are debated as well. Clinical follow-ups of the presented case reports demonstrate that direct composite resin restorations are not affected by the darkened tooth substrate over time.


2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Ubiracy Gaião ◽  
Leonardo Fernandes da Cunha ◽  
Cibele de Almeida Kintopp ◽  
André Vivan Garcia ◽  
Carla Castiglia Gonzaga ◽  
...  

Direct composite resin restorations are commonly provided because of their satisfactory esthetics and minimal wear of opposing tooth structure. Recent restorative systems may not follow the nomenclature of the classical VITA shade guide, using instead a simplified resin color system. A better understanding of these systems and their behavior regarding the incidence of light is an excellent approach to anterior restorations, especially for fractured anterior teeth. This paper demonstrates the color selection and clinical sequence for the natural reproduction of tooth structure using a resin system that does not follow the VITA classical scale.


2019 ◽  
Vol 44 (6) ◽  
pp. 574-580 ◽  
Author(s):  
S Oh ◽  
JH Jang ◽  
HJ Kim ◽  
NS Seo ◽  
SH Byun ◽  
...  

SUMMARY Two cases of complicated crown fracture of the maxillary incisors were restored using the fragment reattachment technique. Root canal treatment was performed, and the fractured fragment was bonded to the tooth structure using a dentin adhesive system and a flowable composite resin, followed by the insertion of a fiber post using dual-cured resin cement. Reattached fragments have shown reliable prognosis without inflammatory signs around bonded junctions after long-term follow-up.


Author(s):  
Mohiddin R Dimashkieh ◽  
Marwa EI Elagra ◽  
Rohit AA Fernandez

ABSTRACT The use of composite resin restorations is widespread in restoring not only anterior teeth but also posterior teeth. Failure of such restorations can occur due to several reasons; and their removal is often stressful and time consuming due to their close resemblance to tooth structure. This article describes a simple technique to place composite restorations with the facilitation of easy demarcation from tooth structure if the need arises to remove it. How to cite this article Dimashkieh MR, Elagra MEI, Fernandez RAA. A Technique to facilitate the Conscientious Removal of Composite Resin Restoration. Int J Prosthodont Restor Dent 2016;6(2):28-30.


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