Aesthetic Rehabilitation with Nano- Ceramic Composite Material - Case Reports

Noor Hayati Azami,Jovian Tze Yu Then,Nora Sakina Mohd Noor,Wei Pin Ngan,Yeong Chee Teoh

doi:10.22452/adum.vol25no2.6

Abstract

Aesthetic or cosmetic dentistry is one of the main areas of dental practice. Increasing demands of patients for aesthetics has resulted in the development of several techniques for restoring the anterior teeth. Composite resin restorations have become an integral part of contemporary restorative dentistry and can be called “star of minimal invasion” due to its conservative concepts. The direct composite veneering allows restoring the tooth in a natural way and preservation of sound tooth structure when compared to indirect restorations. Before placement of direct composite veneers, a proper diagnosis, available treatment options, cost of treatment, patient’s expectations and duration of treatment should be taken into consideration. This article presents three case reports of aesthetic rehabilitation of anterior teeth using direct composite with satisfactory outcome that mimic the natural dentition.

Highlights

The restoration and re-establishment of a patient’s dental aesthetics is among the important requirements of dentistry today [1,2]
Porcelain veneering is considered the gold standard as an aesthetic restorative option when used for suitable clinical cases [6,7,8]
The fabrication of porcelain veneers requires the removal of tooth structure, healthy or otherwise, to accommodate the porcelain

Summary

Introduction

The restoration and re-establishment of a patient’s dental aesthetics is among the important requirements of dentistry today [1,2]. The manipulation of composite resin and its placement and sculpting to resemble closely the natural form of teeth is an art and requires skills that can only be honed by extensive practice and patience These three-clinical case reports present step-by-step sequence for restoring the aesthetics of anterior maxillary teeth with direct composite veneer technique. Treatment plan: Multiple diastemas closure and to re-shape teeth 13 and 23 using direct composite veneer restoration using Ceram.X® oneTM (Dentsply, Konstanz, Germany) to mimic the missing lateral incisors. 6. Post-operative maxillary central incisors occlusal view showed the corrected alignment and aesthetic morphology (Figure 6F). 7. Post-operative retracted intraoral view showed the natural appearance of the direct composite restoration with Ceram.X® one and the corrected alignment of the tooth 11 and 21 (Figure 6G). Composite with selected shades (A1 for incisal and A2 for body) were applied using layering technique (Figure 6D)

DISCUSSION

CONCLUSION