Rehabilitation Of Teeth Research Articles

Decision criteria influencing the therapeutic approach to invasive cervical resorption: a case series.

Invasive cervical resorption (ICR) is a dental lesion starting in the cervical region and involving the loss of dental hard tissue as a result of odontoclastic action. Due to its localization and invasive pattern, this process represents a challenging clinical situation. When feasible, the major aim of an ICR treatment is to completely remove the pathologic tissue (specifically at the entry point of the lesion) and to seal the resulting defect, without compromising tooth rehabilitation. In this context, choosing how to access the resorptive lacuna is essential. Two main options have been described in the literature: an external approach, requiring the surgical exposure of the resorptive lacuna, and an internal approach, taking advantage of the endodontic access cavity. However, there are no guidelines that indicate which approach to choose for the treatment of an ICR. This article is based on four clinical cases. It aims to provide specific clinical and radiologic features that should be considered in order to take the most appropriate decision, when choosing between the internal and the external approaches. It is proposed to base the therapeutic strategy on the accessibility and the size of the portal of entry of the lesion. When the entry point is wide, its extension along the root must also be taken into account. Other important parameters are the circumferential and vertical extents of the lesion in the radicular dentin. Although it is not a determining factor, the pulpal involvement of the lesion can also be considered.

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.

The application of occlusion in clinical practice part 1: Essential concepts in clinical occlusion

Abstract: The first of this three-part series will focus on the occlusal assessment and the proposed features of the ‘ideal occlusal scheme’. The examination of the static and dynamic relationship of the dentition is outlined, including the extra- and intra-oral examination. The terminology associated with the intra-occlusal positions and relationships are described and a template for a comprehensive occlusal examination is presented. Part 1 also aims to explore some of the essential concepts in clinical occlusion. CPD/Clinical Relevance: Understanding the static and dynamic relationships of the natural and restored dentition are important steps in the successful and long-term rehabilitation of missing and broken-down teeth. Development of familiarity and fluency with various terms associated with the examination and relationships of the dentition in function are critical aspects when attempting to form an appreciation of the subject of clinical occlusion.

Restorations with Bulk Fill restorative system: case report

ABSTRACT Bulk Fill Composite resins are restorative materials that present low tension and polymerization shrinkage, allowing them to be inserted in a single increment of up to 4 mm of thickness, in a restorative cavity. This paper aims to report a clinical case of restorations done on posterior teeth with Bulk Fill restorative system, using selective acid-etching with self-etch adhesive system. Patient, male, 24 years old, presented a carious lesion on the occlusal surface of dental element 37 and an occlusal unsatisfactory amalgam restoration, on element 36. A restorative treatment with Universal Bond 3M / ESPE and bulk fill composite resin (3M / ESPE) was done. According to the case described, it was possible to observe that the materials and techniques used restored the form and function of the teeth involved, preserving pulp vitality with a satisfactory aesthetic result. The bulk fill resins employed offer practicality and decrease clinical time, with satisfactory clinical applicability in the aesthetic and functional rehabilitation of posterior teeth.

Integration of intraoral digital scans with a 3D facial scan for anterior tooth rehabilitation

This article describes a digital technique that combines intraoral digital scans with a 3-dimensional facial scan to predict the outcome of prosthodontic treatment of anterior teeth at the treatment planning phase. This approach may increase patient acceptance of the definitive treatment, as the altered facial appearance is visualized with definitive prosthodontic restorations, thereby improving communication before treatment begins.

Rehabilitation of Lower Anterior Teeth with Implant Therapy in Localized Aggressive Periodontitis

Periodontitis is the most common, destructive, inflammatory diseases of supporting tissues of the teeth in humans, with profound effects on general health. Aggressive periodontitis (AgP) comprises a rare, rapidly progressing form of periodontitis, characterized by severe destruction of periodontal attachment apparatus and tooth loss at an early age. Considering the psychological problems which these patients have during the early stages of their life, the chief aim of the treatment is to achieve functional, esthetic, and phonetic rehabilitation. Dental implant is a widely used treatment option that provides functional and esthetic resolution. Implant placement in patients with a history of AP might be considered a viable option to restore oral function; however, the risk for implant failure is significantly higher. This report presents rehabilitation of lower anterior teeth with implant therapy in a 24-year-old systemically healthy male with a history of localized AP, who had previously received complete periodontal therapy for periodontal stabilization

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.

Esthetic Rehabilitation of Primary Anterior Teeth using Double Omega Loop Post: A Report of Two Cases

The most common chronic disease that affects children is dental caries. In particular, maxillary anterior teeth are grossly destructed in early childhood caries. This leads to difficulty in speech, decreased masticator efficiency, development of abnormal tongue habits, and potentially subsequent malocclusion and psychological problems if esthetics is compromised. Restoration of severely decayed primary incisors is often a challenging procedure to pediatric dentists. This case series documents the esthetic rehabilitation of primary anterior teeth using double omega loop post.

Evaluation of maxillary anterior teeth and their relation to the various geometric proportions in Indian population sample

Purpose: The position and size of the anterior teeth have direct influence on clinical appearance of the smile. The anterior teeth rarely follow all the mathematic rules of a proportionate smile. To determine maxillary anterior teeth proportions in Indian Population, their correlation with existing mathematical parameters and their reliability should be evaluated. Materials and Methods: A total of 350 participants were evaluated for healthy maxillary anterior teeth. Based on the inclusion/exclusion criteria, 230 were included in the study. Five photographs of the anterior maxillary area with three different angles were performed under standardized conditions. Images were analyzed and the data were collected. Results: The observed values of width and height were closely related to Proportion Gauge. Width proportions between two adjacent teeth and the observed tooth proportions are in concordance with the values given by Digital Smile Design (DSD®). Variables defined were analyzed in Minitab software using descriptive statistics and inferential tests (t-test with 95% confidence interval). Conclusions: The Proportion Gauge and DSD® Protocol can be used for rehabilitation of maxillary anterior teeth in the studied population.

Esthetic rehabilitation of anterior teeth with porcelain veneers - A case series

Esthetic rehabilitation of anterior teeth with porcelain veneers - A case series

Acrylic crowns for esthetic rehabilitation of primary teeth

Grossly destructed anteriors and compromised esthetics are very commonly seen in the early childhood caries. Primary maxillary anterior teeth dominate the physical appearance, and their structural loss affects not only esthetics but also leads to compromised mastication, poor phonetics, development of aberrant oral habits, neuromuscular imbalance, and difficulty in social and psychological adjustment of the child. To prevent this restoration of maxillary anteriors with suitable option is highly expected. One of the options available apart from the routine tooth-colored restorations is the heat cure acrylic crown. This paper focuses the advantages and disadvantages in a way attempt to discuss custom made full coverage restoration, i.e., heat cure acrylic crown for anterior esthetic rehabilitation for pediatric patients.

Prosthodontic management and esthetic rehabilitation of teeth with moderate fluorosis

Prosthodontic management and esthetic rehabilitation of teeth with moderate fluorosis

Esthetic Rehabilitation with Combined All-Ceramic Applications: A Case Report

The first choice for anterior rehabilitation has been metal-free materials due to their successful esthetic results. Dentists and dental technicians today require materials that offer high strength, outstanding esthetics and efficient productivity. IPS e-max lithium disilicate can now be processed with CAD/CAM technology or traditionally pressed or contemporarily. Thus, its strength and versatility, the material used for the following practice anterior/posterior crowns, anterior three-unit bridgework (press only), inlays/onlays, veneers, thin veneers, implant restorations, telescopic crowns. The case presented in this report illustrates the rehabilitation of maxillary anterior teeth with IPS e-max press ceramic bridge and laminate veneers.

Oral health related habits, knowledge and attittude in children with asthma

Summary Introduction The aim of this research was to determine oral hygiene related habits, knowledge and behavior in children with asthma compared to healthy children. Methodology This study included 136 children, between 6 to 16 years of age, divided into the two groups. The first group included children with asthma (study group - SG), while the second included healthy children (control group - CG). A questionnaire containing three groups of questions related to oral-hygiene and dietery habits as well as oral health related behaviour in children was prepared. Results The percentage of children from SG that brush teeth several times a day was 60.2% compared to 77.2% of CG children (p<0.05). 19.1% of SG group children versus 38.2% of CG children brush their teeth longer than 2 minutes (p<0.05). There was no significant difference in the level of knowledge about plaque impact on oral health between the two groups (p>0.05). More than half (52.9%) of CG respondents regularly visit dentist, while 50.0% of SG goes regularly (p<0.01). 51.5% of CG children visit the pediatric dentist due to preventive reasons, while SG children goes mainly due to rehabilitation of teeth (42.6%). The fear of dental procedures is more pronounced in SG compared to CG children (p<0.001). Conclusion Oral hygiene related habits and oral health behavior were worse in children with asthma, while no difference was found in relation to the knowledge among the observed groups.

Esthetic rehabilitation of anterior teeth through gingival recontouring and ceramic veneers: a case report

Esthetic rehabilitations require a broad and thorough evaluation of all the elements that make up the smile such as lips, dental, and periodontal structures to plan the treatment to provide harmony to the whole set. Objective: To demonstrate through a case the association of Periodontics and Restorative Dentistry in the esthetic rehabilitation of anterior teeth replacing resin restorations by modifying the gingival architecture conservatively and harmonically. Case report: It is essential for a multidisciplinary approach to succeed in treatment. The replacement of previous restorations is an increasing demand in currently clinical practice, for many reasons, mainly due to dissatisfaction with the esthetics. It is observed that many of these patients involve not only dissatisfaction with the dental structure but also with the periodontal health, for this reason, it is necessary a previous adaptation of the gingival tissues for proper restorative rehabilitation. Conclusion: Ceramic laminates have proved to be a great choice for anterior teeth restorations, but they must be indicated in specific situations, to obtain excellent results as most conservative as possible.

Esthetic smile rehabilitation of anterior teeth by treatment with biomimetic restorative materials: a case report

BackgroundIn daily clinical practice, esthetics of anterior teeth is a common presenting complaint of patients.ObjectiveThis case report discusses the management of asymmetric smile associated with unsatisfactory extensive composite restorations and describes a clinical protocol using the direct composite resin for smile enhancement to restore the dental harmony of anterior teeth.MethodsThe treatment planning was based on a diagnostic wax-up and cosmetic mock-up. After clinical and patient approvals were obtained, the patient was subjected to direct and indirect restorative treatment.ConclusionNanocomposites are an effective alternative for anterior teeth restorations. Additionally, good planning enables satisfactory esthetic results, leading to the correction of an inappropriate axial inclination of incisors.

Special Design of Removable Partial Denture Restoration Following Surgical Resection of Mouth Floor Neoplasm

This clinical report describes a special removable partial denture design and fabrication in the mandibular teeth rehabilitation of a patient diagnosed with carcinoma in the mouth floor Following surgical resection of partial teeth and mandible a severe scar adhesion between tongue and mouth floor tissue occurred which was difficult to reconstruct the mandible and teeth defect with removable partial denture A specific restoration design with clasps on abutment teeth lingual side and denture base on external oblique ridge which can effectively escape from the adhesive area was indicated and discussed