Additive Technique as Restorative Possibility for Smile Transformation with Composite Resin: a Case Report
DOI:
https://doi.org/10.21270/archi.v14i2.6094Keywords:
Composite Resins, Diastema, Enamel MicroabrasionAbstract
Aesthetic procedures are becoming more popular in the clinical routine of dental offices, given the great demand for modifications in the smile by patients. This work aimed to describe the operative steps to carry out a smile transformation performed with composite resin by no preparation technique in an academic clinical setting at a Dentistry College in the north of the Minas Gerais state, Brazil. An 18-year-old male patient attended the School Clinic complaining of aesthetic dissatisfaction with his smile. In the clinical dental evaluation, multiple diastemas in the upper anterior and white spot lesions caused by fluorosis were observed. Based on the complaints reported by the patient, the following treatment sequence was proposed: 1. Enamel microabrasion in the upper arch; 2. Tooth whitening; 3. Confection of only additive veneers on teeth 11 and 21 and reanatomization by addition of composite resin in the proximal face of lateral incisors and mesial of the canines. Additive restorations performed with composite resin using the mock-up technique and silicone index are facilitating tools for the esthetic procedure of anterior teeth. The use of composite resins was able to provide a better contour to the teeth, closing the present diastemas, available in a more aesthetic smile.
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References
1. 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.
2. Zorba YO, Bayindir YZ, Barutcugil C. Direct laminate veneers with resin composites: two case reports with five-year follow-ups. J Contemp Dent Pract. 2010;11(4):E056-62.
3. Ferracane JL. Resin composite--state of the art. Dent Mater. 2011;27(1):29-38.
4. Gresnigt MM, Kalk W, Ozcan M. Randomized controlled split-mouth clinical trial of direct laminate veneers with two micro-hybrid resin composites. J Dent. 2012;40(9):766-75.
5. Goyal A, Nikhil V, Singh R. Diastema Closure in Anterior Teeth Using a Posterior Matrix. Case Rep Dent. 2016;2016:2538526.
6. Balassa BdS, Silva IDd, Zeczkowski M, Manetti LP. Reanatomization of anterior teeth with composite resin: case report. Research, Society and Development 2020;9:e32891210962
7. Kabbach W, Sampaio CS, Hirata R. Diastema closures: A novel technique to ensure dental proportion. J Esthet Restor Dent. 2018;30(4):275-280.
8. Demirci M, Tuncer S, Öztaş E, Tekçe N, Uysal Ö. A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment. Clin Oral Investig. 2015;19(9):2187-99.
9. Demarco FF, Collares K, Coelho-de-Souza FH, Correa MB, Cenci MS, Moraes RR, Opdam NJ. Anterior composite restorations: A systematic review on long-term survival and reasons for failure. Dent Mater. 2015;31(10):1214-24.
10. Wilson N, Lynch CD, Brunton PA, Hickel R, Meyer-Lueckel H, Gurgan S, Pallesen U, Shearer AC, Tarle Z, Cotti E, Vanherle G, Opdam N. Criteria for the Replacement of Restorations: Academy of Operative Dentistry European Section. Oper Dent. 2016;41(S7):S48-S57.
11. Peumans M, De Munck J, Fieuws S, Lambrechts P, Vanherle G, Van Meerbeek B. A prospective ten-year clinical trial of porcelain veneers. J Adhes Dent. 2004;6(1):65-76.
12. Santos BG, Moreno NB, Arango MJ, Medina VMM, López LCT, Gómez SL. Algunos factores relacionados con la estética dental: una nueva aproximación Revista Facultad de Odontología Universidad de Antioquia 2015;26:271-91
13. Koubi S, Gurel G, Margossian P, Massihi R, Tassery H. A Simplified Approach for Restoration of Worn Dentition Using the Full Mock-up Concept: Clinical Case Reports. Int J Periodontics Restorative Dent. 2018;38(2):189-197.
14. Castro KS, Ferreira AC, Duarte RM, Sampaio FC, Meireles SS. Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: a randomized clinical trial. J Dent. 2014;42(8):938-44.
