Conservative Esthetic Approach of Anterior Teeth Using Minimal Intervention and Preservation of all Sound Tooth Tissue: a Case Report
DOI:
https://doi.org/10.17921/2447-8938.2019v21n5p489-493Resumo
Abstract
This clinical case report describes a conservative approach to a smile harmony rehabilitation performing a gingivoplasty, dental bleaching and resin-based composites to finalize the case. This clinical article describes the case report of a patient in need of an esthetic and corrective solution for the anterior teeth, which presented a disharmonic smile, in its shape and color, besides the gingival smile. As a result, gingivoplasty, dental bleaching and restoration with composite resin were done. Gingivoplasty with bone preservation was possible because there was a large volume of soft tissue, and a distance ≥ 2 mm from the bone crest to the junction cementum enamel was confirmed. Bleaching was performed with the use of associated techniques: office (Whiteness HP 35%) and supervised at-home (Whiteness Perfect 10%) bleaching were performed, and then the "buccolingual technique" using a nanocomposite resin IPS was used from a diagnostic wax-up to perform the restorative procedure for the anterior teeth. The use of minimally invasive techniques is an effective alternative for the anterior teeth rehabilitation. As in this case, the gingivoplasty, dental bleaching with associated techniques, and restorations with nanocomposites allowed satisfactory esthetic results, even more so in relation to dental preservation, mainly in young patients.
Keywords: Tooth Bleaching. Gingivoplasty. Esthetic. Dental Restoration
Abstract
This clinical case report describes a conservative approach to a smile harmony rehabilitation performing a gingivoplasty, dental bleaching and resin-based composites to finalize the case. This clinical article describes the case report of a patient in need of an esthetic and corrective solution for the anterior teeth, which presented a disharmonic smile, in its shape and color, besides the gingival smile. As a result, gingivoplasty, dental bleaching and restoration with composite resin were done. Gingivoplasty with bone preservation was possible because there was a large volume of soft tissue, and a distance ≥ 2 mm from the bone crest to the junction cementum enamel was confirmed. Bleaching was performed with the use of associated techniques: office (Whiteness HP 35%) and supervised at-home (Whiteness Perfect 10%) bleaching were performed, and then the "buccolingual technique" using a nanocomposite resin IPS was used from a diagnostic wax-up to perform the restorative procedure for the anterior teeth. The use of minimally invasive techniques is an effective alternative for the anterior teeth rehabilitation. As in this case, the gingivoplasty, dental bleaching with associated techniques, and restorations with nanocomposites allowed satisfactory esthetic results, even more so in relation to dental preservation, mainly in young patients.
Keywords: Tooth Bleaching. Gingivoplasty. Esthetic. Dental Restoration
Referências
Zorić EK, Žagar M, Zlatarić DK. Influence of gender on the patient’s assessment of restorations on the upper anterior teeth. Acta Stomatol Croatica 2014;48(1):33-41. doi: 10.15644/asc48/1/4
Gouveia THN, Theobaldo JD, Vieira-Junior WF, Lima DANL, Aguiar FHB. Esthetic smile rehabilitation of anterior teeth by treatment with biomimetic restorative materials: a case report. Clin Cosmet Investig Dent 2017;11(9):27-31. doi: 10.2147/CCIDE.S130698
Tomar N, Bansal T, Bhandari M, Sharma A. The perio-esthetic-restorative approach for anterior rehabilitation. J Indian Soc Periodont 2013;17(4):535-8. doi: 10.4103/0972-124X.118332
Madhyastha PS, Naik DG, Srikant N, Kotian R, Bhat KMR. Effect of finishing/polishing techniques and time on surface roughness of silorane and methacrylate based restorative materials. Oral Health Dent Manag 2015;14(4):212-18. 10.4103/1735-3327.215962
Chour RG, Moda A, Arora A, Arafath MY, Shetty VK, Rishal Y. Comparative evaluation; of effect of different polishing systems on surface roughness of composite resin: an in vitro study. J Int Soc Prev Community Dent 2016;6(2):S166-S70. doi: 10.4103/2231-0762.189761
Freitas M, Santos J, Fuks A, Bezerra A, Azevedo T. Minimal intervention dentistry procedures: a ten year retrospective study. J Clin Pediatr Dent 2014;39(1)64-7. doi: https://doi.org/10.17796/jcpd.39.1.p113979175633826
Da Cunha LF, Gaião U, Silva RC, Gonzaga CC, Correr GM. Cosmetic remodeling of the smile: combining composite resin and ceramics over teeth and implants. Case Rep Dent 2017. doi: https://doi.org/10.1155/2017/8698010
Zhao K, Zong L, Zhang Q, Att W. Clinical comparison between two bleaching techniques: a 180-day follow-up study. Quintessence Int 2013;44(8):601-7. doi: 10.3290/j.qi.a29702
Tooth Whitening/Bleaching: Treatment Considerations for Dentists and Their Patients ADA Council on Scientific Affairs September 2009
Demarco FF, Collares K, Correa MB, Cenci MS, Moraes RR, Opdam NJ. Should my composite restorations last forever? Why are they failing? Braz Oral Res 2017;28(31). doi: http://dx.doi.org/10.1590/1807-3107bor-2017.vol31.0056
Frese C, Schiller P, Staehle,HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: a 5-year follow-up. J Dent 2013;41(11):979-85. 10.1016/j.jdent.2013.08.009.
Heintze SD, Rousson V, Hickel R. Clinical effectiveness of direct anterior restorations: meta-analysis. Dent Mater 2015;31(5):481-95 doi: 10.1016/j.dental.2015.01.015.
Soares CG, Carracho HG, Braun AP, Borges GA, Hirakata LM, Spohr AM. Evaluation of bond strength and internal adaptation between the dental cavity and adhesives applied in one and two layers. Oper Dent 2010;35(1):69-76. doi: 10.2341/09-061-L.
Dietschi D. Optimising aesthetics and facilitating clinical application of free-hand bonding using the “natural layering concept”. Bras Dent J 2008;204:181-5.
Muñoz MA, Luque I, Hass V, Reis A, Loguercio AD, Bombarda NH. Immediate bonding properties of universal adhesives to dentine. J Dent 2013;41:404-11. doi: 10.1016/j.jdent.2013.03.001.
Muñoz MA, Luque-Martinez I, Malaquias P, Hass V, Reis A, Campanha NH, et al. In vitro longevity of bonding properties of universal adhesives to dentin. Oper Dent 2015;40(3):282-92.
Society of Cariology and Endodontology CS.Guidelines for direct adhesive composite restoration. Chin J Dent Res 2015:18(4):217-20. doi: 10.3290/j.cjdr.a35145
Alonso V, Caserio M. A clinical study of direct composite full-coverage crowns: long-term results. Oper Dent 2012;37(4):432-41. doi: 10.2341/11-229-S.
Demarco FF, Collares K, Coelho-de-Souza FH, Correa MB, Cenci MS, Moras RR, et al. Anterior composite restorations: A systematic review on long-term survival and reasons for failure. Dent Mater 2015;31(10)1214-24. doi: 10.1016/j.dental.2015.07.005.
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