COMPOSITE BUILD-UP-CONSERVATIVE RESTORATION FOR A PERFECT SMILE.

Abstract

BRIEF BACKGROUND The personality of a person is greatly influenced by their smile. Imperfections in the appearance of anterior teeth can reduce a person’s confidence and aesthetics. This case report represents the rehabilitation of a patient with severe tooth deformation in the upper and lower anterior teeth region. The tooth structure was not enough to support porcelain crowns, so Resin Composite was used to build up the tooth and it was supported using a periodontal splint. MATERIALS AND METHODS Clinical examination and radiographic evaluation showed a tooth form-size discrepancy. Due to the lack of tooth structure available for crown preparation, Resin Composite material was used to build up the tooth structure. everStick by GC was used as a periodontal splint to support the structure. DISCUSSION Resin Composite is one of the most conservative and aesthetic techniques available for restoring tooth structure. The different hues and shades available help it to provide a seemingly natural looking restoration. This helps in rehabilitation of a decrepit smile. Long term studies showed high success rates. Failure was seen in patients with paranormal muscle activity like bruxism and in bonding on pre-existing composite restorations. Marginal discolouration was seen in patients with tobacco habits (smoking and smokeless forms). SUMMARY AND CONCLUSION Composite build-up of teeth is a viable option for restoring tooth structure when the case demands aesthetic needs in both young and adult patients. The amount of tooth structure conserved is also much greater than with porcelain crowns. Cost of treatment is also significantly lower. KEY WORDS Composite, Aesthetics, Smile, Conservative treatment, everStick by GC.