Rehabilitation Of Anterior Teeth Research Articles

New Trends and Criteria in the Minimally Invasive Esthetic Rehabilitation of Anterior Teeth

New Trends and Criteria in the Minimally Invasive Esthetic Rehabilitation of Anterior Teeth

When (and when not) to use the Dahl Concept.

The Dahl Concept describes the re-establishment of occlusal contacts after the provision of a planned localised appliance or restoration in supraocclusion. Initially developed to create space for prosthetic rehabilitation of anterior teeth suffering from localised wear, the principle has later been successfully applied to a variety of situations, including the Hall technique and resin-bonded bridges cemented in supraocclusion. Despite high levels of success seen in the relevant literature and widespread adoption in specialist care, the wider profession appears to be far more cautious in its use. This article aims to provide a brief summary of the Dahl Concept and discuss the local and general factors that influence its successful implementation in the hope of promoting its increased adoption by the broader dental profession.

Materials used in rehabilitation of anterior teeth with Maryland adhesive bridge

Materials used in rehabilitation of anterior teeth with Maryland adhesive bridge

Esthetic solutions with layered zirconia prostheses: A case series

One of the major clinical challenges in the rehabilitation of anterior teeth is achieving natural looking restorations for improper shape, size of the existing teeth, irregular gingival contour and unaesthetic shades. Increasing demand by patients for aesthetic and metal-free restorations has resulted in all-ceramic restorations such as dental zirconia that offer optimal aesthetics with desirable mechanical properties. A case series of clinical reports of layered zirconia fixed dental prostheses for anterior teeth is described. Prosthetic rehabilitation of endodontically treated and vital abutments are described and the influence of zirconia composition, design, layering technique, shade selection, occlusion and clinical challenges in each of the clinical conditions are discussed. Choice of zirconia composition, framework design and shade selection in layered zirconia prosthesis is influenced by abutments in layered zirconia prosthesis.

Management of Enamel Hypoplasia in Maxillary Incisors with Composite Direct Veneers: Case Report

Background: Dental esthetics is an important aspect that needs to be considered in today’s dental treatment planning. Enamel hypoplasia is teeth discoloration from yellowish to brownish due to disturbances during the amelogenesis process. Direct veneers are a conservative treatment option that supports the esthetics of anterior teeth. Purpose: To improve patient’s appearance by a viable treatment option that offered rehabilitation of anterior teeth. Case: A 18-year-old female patient felt uncomfortable and wanted to improve her appearance because the front teeth had old fillings turned yellowish and white spots. Objective examination showed enamel hypoplasia in 12, 11, 21, 22 and secondary caries in 11 and 22. Case Management: The treatment plan was direct composite veneers. The initial stage is digital smile design analysis and composite shade selection using the button try technique. Minimally invasive preparations were performed on teeth 12, 11, 21, 22. Etching using 37% phosphoric acid and bonding agent was applied to the prepared enamel. The layering technique is used for composite applications. Finishing, contouring and polishing using Soflex Disc Coarse and Diacomp Twist. Conclusion: Direct composite veneers are a viable treatment option for patients requiring rehabilitation of anterior teeth.

Biological post: An Avant-Garde approach

It is not uncommon to see fracture or loss of tooth structure due to caries of the anterior teeth, be it primary or permanent dentition. Successful functional, structural and esthetic rehabilitation of anterior teeth has always been a challenge in restorative dentistry. Though there are various accepted treatment modalities, there is always continuous hope of developing newer techniques, in order to overcome the drawback of existing treatments. This paper discusses the use of a simple, yet successful, cost-effective treatment option of restoring anterior teeth with the use of biological posts through two case reports.

Clinical considerations for preformed zirconia crowns in early childhood caries: A case series and review of literature

Early childhood caries (ECC) is a prevalent disease worldwide and the major reason for the destruction and early loss of primary anterior teeth in children. It is paradigmatic to manage and treat this predicament in early childhood, as the affected teeth play a key role in aesthetics, phonetics, eating, and pronunciation. These teeth are influential to proprioceptive inputs of pre-maxilla and maintaining space for the timely eruption of permanent teeth. Aesthetic alternatives to preformed metal crowns have been developed in recent years. This paper describes the clinical considerations, protocol for the implementation, and maintenance for successful rehabilitation of anterior teeth affected by ECC restored with preformed zirconia crowns. Keywords: Aesthetics; Crown; Dental Caries, Primary Teeth, Zirconium

REABILITAÇÃO ESTÉTICA COM RESINA INDIRETA EM DENTES ANTERIORES: UM RELATO CLÍNICO

Introduction: The aesthetic rehabilitation of endodontically treated teeth depends on the degree of destruction of the crown, the tooth in question, the bone support, the type of prosthesis and the types of forces to which these teeth will be submitted. The indirect composite resins have improved physical and mechanical properties thanks to the incorporation of inorganic components and multifunctional monomers with a greater number of bonding points, making them capable of solving the problems in which ceramic restorations would be indicated. Objective: To present a clinical case report of an aesthetic rehabilitation of anterior teeth with indirect composite resin as a viable and less expensive treatment alternative. Case Report: Upon clinical examination, extensive and deficient restorations were observed in the upper anterior teeth. The proposed treatment plan aesthetic rehabilitation of dental elements with ceromeres. Conclusions: This treatment represented a viable and less expensive option that can be used both in situations of great dental destruction and in small dental absences, in substitution for ceramic restorations.

Retrospective clinical evaluation of a no-prep porcelain veneer protocol

Statement of problemPorcelain laminate veneers without tooth preparation (no-prep veneers) might represent a convenient and conservative option for the esthetic rehabilitation of anterior teeth. However, controversy exists about their predictability. PurposeThe purpose of this clinical study was to retrospectively evaluate the performance of no-prep porcelain veneers placed as per the recently proposed “CH no-prep” protocol, which claimed to overcome many of the drawbacks of previous no-prep veneer solutions. Material and methodsOne hundred eight no-prep porcelain laminate veneers based on the CH no-prep protocol were placed in 21 patients between 2015 and 2017. All participants were contacted, and 15 received a recall examination: a total of 78 veneers were evaluated as per the Clinical-Photographic-Micromorphologic coding. Plaque and gingival indexes and any increase in gingival recession were recorded. Pulp vitality was verified. A survival rate based on the count of absolute failures and a success rate summarizing the effect of both absolute and relative failures were calculated. ResultsThe mean observation period was 43.1 months, with an observation interval of 36 to 60 months and a survival rate of 97.4%. From the 5 relative failures (3 minimal fractures or chips and 2 limited marginal discolorations) and the 2 absolute failures (unrepairable fractures), an overall success rate of 91.0% was recorded, with 71 restorations that were judged excellent in terms of clinical acceptance after the recall examination. From the Clinical-Photographic-Micromorphologic evaluation, 5 restorations (6.4%) showed minimal issues for marginal integrity, while a limited porcelain overhang was identified on 2 restorations (2.8%). Micromorphologic analyses confirmed the clinical evaluations. No periodontal recession was observed, and plaque and gingival indexes appeared stable. ConclusionsPorcelain laminate veneers placed as per the CH no-prep protocol demonstrated excellent performances after 36 to 60 months of clinical service. The achieved outcomes, in terms of color match and overall esthetic and anatomic integration, confirmed that a prepless approach may be safely adopted provided that strict rules for patient selection and finish line placement are adopted.

Laminados cerâmicos – relato de caso

The demand for aesthetics is increasing regardless of social class, age or gender. With the evolution of ceramic materials, resin cements, acid etching techniques, and silanization agents, ceramic laminates are now one of the best alternatives for rehabilitation of anterior teeth that require aesthetic restorative treatments. Given this evolution, this case report aims to demonstrate how to optimize the steps of laminates manufacturing and provide an excellent aesthetic and functional result after restoration of anterior teeth with veneers.

Minimally invasive predictable esthetic restorations using ceramic veneers: A case series

The dental profession is perpetually in the search of restorative options that fulfill the criteria of being natural in appearance and at the same time long-lasting. Technological advances in ceramics and adhesive techniques have made it possible to achieve natural esthetic results with conservative intervention for the rehabilitation of anterior teeth. Smiles can be transformed painlessly and conservatively with quick and long-lasting results with the appropriate use of the porcelain laminate veneers. The finished ceramic surface elicits excellent tissue response. In short, the current ceramic veneers are esthetically superior, conservative, and durable. The present article reports on three cases where ceramic veneers have been used for the esthetic correction of anterior teeth.

Reabilitação estética e funcional com laminados cerâmicos reforçados por dissilicato de lítio: relato de caso clínico

Objetivo: Apresentar um relato de caso clínico de reabilitação estética e funcional do sorriso com laminados cerâmicos minimamente invasivos, descrevendo o protocolo clínico por meio de facetas cerâmicas reforçadas por dissilicato de lítio. Detalhamento do caso: Paciente do gênero feminino, procurou atendimento odontológico queixando-se da aparência estética do seu sorriso. O exame clínico inicial identificou restaurações de resina composta insatisfatórias quanto à forma, textura e cor nos elementos 11, 12, 13, 21, 22 e 23, e ausência de características, como: simetria entre os dentes homólogos, curva incisiva convexa acompanhando a concavidade do lábio inferior e falta de preenchimento do corredor bucal. No planejamento, optou-se por realizar laminados cerâmicos em dissilicato de lítio. O tratamento foi iniciado com a confecção de facetas fresadas em resina acrílica (PMMA) para o ensaio restaurador. Posteriormente, as facetas de cerâmica reforçadas por dissilicato de lítio (IPS e.max) foram cimentadas com resina composta Z-100 (3M ESPE) aquecida a 68°C. Considerações finais: O sucesso do tratamento depende do correto diagnóstico, planejamento do caso, e execução correta da técnica de preparo dos elementos dentários e que a utilização de cerâmica reforçada por Dissilicato de Lítio é uma excelente opção para a reabilitação estética e funcional de dentes anteriores.

Lentes de contato na solução de problemas estéticos

The growing demand for aesthetics and minimally invasive and painless procedures has made ceramic laminates play a prominent role in restoring or modifying the shape, color, and function of teeth and, above all, returning smiles, brightening lives, and restoring health. With the evolution of ceramic materials, resin cements, acid etching techniques, and silanization agents, ceramic laminates are now one of the best alternatives for rehabilitation of anterior teeth that require aesthetic restorative treatments. Given this evolution, this case report aims to demonstrate the association of high quality materials with laser periodontal surgery, promoting a minimally invasive Dentistry that provides surprising results in the clinic.

Esthetic rehabilitation of anterior teeth by fiber-reinforced composite: A case report

Patients refusing implant surgery for psychological reasons, where minimal reduction of tooth is preferred, a fiber-reinforced composite fixed partial denture can be a good alternative to conventional prosthetic techniques. In comparison to other restorative systems this is a conservative approach carries a minimum jeopardy of pulp exposure or sensitivity and periodontal inflammation, maintaining the health of supporting tissues. The aim of this case report is to describe the clinical procedure for fabricating an IFPD with a pre-impregnated glass fiber system and a hybrid composite. Fiber-reinforced composite, in combination with adhesive techniques, appears promising for an IFPD. Further clinical investigation will be required to provide additional information on this technique. Keywords: Adhesive dentistry, Fiber-reinforced composite, Glass fibers, Metal-free restorations.

Aesthetic and Functional Rehabilitation of Anterior Teeth Using the In-Ceram Zirconia System: A Case Report

Aesthetic and Functional Rehabilitation of Anterior Teeth Using the In-Ceram Zirconia System: A Case Report

Aesthetic Rehabilitation with Nano- Ceramic Composite Material - Case Reports

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.

Aesthetic complications of immediate implant placement of anterior teeth

In the anterior tooth zone, the criteria of successful implant restoration is not only to ensure a high survival rate of implant, but also to provide long-lasting and stable aesthetic outcomes. As for the rehabilitation of anterior teeth, immediate implant placement might achieve a survival rate similar to those of delayed implant placement and significantly reduce treatment time, whereas several aesthetic complications such as gingival recession, loss of interdental papilla, exposure of implant margin could also occur. Therefore, an important issue need to be solved is that how to avoid or handle the aesthetic complications of immediate implant placement of anterior teeth. This article mainly discusses the clinical features, possible etiologies and handling methods of aesthetics complications in rehabilitation of anterior teeth using immediate implant placement.

Esthetic rehabilitation of anterior teeth with different thicknesses of porcelain laminate veneers: An 8-year follow-up clinical evaluation

This clinical report describes an 8-year follow-up evaluation using different thicknesses of porcelain laminate veneers of diastema and malformed anterior teeth. Minimally invasive treatment with no preparation or minimal reduction options could be considered and chosen based on the characteristics of each case. Laminate veneers with or without reduction can offer an excellent result regarding esthetics and function. Despite its failure without reduction, this treatment is indicated because it can be applied regardless of the structure of the teeth. At first, no tooth preparation with rotatory instruments was performed, and porcelain laminates of minimum thickness were made for the four maxillary anterior teeth. After 6 years, the adhesive interfaces were stained, and the patient was unsatisfied with the esthetics of her smile. Therefore, at that time, the professional decided to prepare the anterior teeth for porcelain laminate veneers. Diastema closure and/or correction of malformed anterior teeth using porcelain laminate veneers is a viable option for the clinician because it restores esthetic harmony. The patient was very pleased with the new laminate veneers.

Aesthetic and functional rehabilitation of anterior teeth after trauma: a case report

Lesões dentárias traumáticas são problemas clínicos comuns durante a infância e podem ter etiologias complexas, causando deficiências físicas e fisiológicas. O objetivo deste estudo foi relatar um caso de lesão dentária traumática grave em uma paciente de 8 anos de idade, vítima de um acidente de moto, que foi levada para uma clínica de odontopediatria três meses depois do acidente. Exames clínicos e radiológicos diagnosticaram a avulsão dos incisivos centrais superiores permanentes, do incisivo lateral esquerdo permanente e do canino esquerdo decíduo, com considerável interposição da língua, interferindo na fala e deglutição. A paciente apresentou baixo risco de cárie e bom comportamento durante as consultas. No entanto, ela demonstrou estar envergonhada para sorrir. Além do tratamento preventivo para a cárie, o plano de tratamento incluiu atendimento imediato e acompanhamento posterior do restabelecimento psicossocial da paciente. Para este efeito, uma prótese parcial acrílica foi feita para substituir os dentes anteriores que faltavam, mantendo as características da dentição mista e preservando sua estética e função. Consultas de acompanhamento foram realizadas em um, três e seis meses após a primeira visita, com o objetivo de monitorar a adaptação da prótese, bem como o crescimento e desenvolvimento da dentição da criança. Assim, a reabilitação estética e funcional foi alcançada considerando a satisfação da paciente, permitindo sua reinserção social imediata.

Key points for esthetic rehabilitation of anterior teeth using chair-side computer aided design and computer aided manufacture technique

With the rapid development of the chair-side computer aided design and computer aided manufacture (CAD/CAM) technology, its accuracy and operability of have been greatly improved in recent years. Chair-side CAD/CAM system may produce all kinds of indirect restorations, and has the advantages of rapid, accurate and stable production. It has become the future development direction of Stomatology. This paper describes the clinical application of the chair-side CAD/CAM technology for anterior aesthetic restorations from the aspects of shade and shape.