Multidisciplinary treatment for previous aesthetic rehabilitation: case report
DOI:
https://doi.org/10.21270/archi.v10i9.5405Keywords:
Denture, Partial, Fixed, Esthetics, Dental, Gingivoplasty, Tooth BleachingAbstract
The rehabilitation treatment has the purpose of restoring facial harmony and patient's self-esteem. The aim of this case report was describe a multidisciplinary approach involving anterior aesthetic rehabilitation using fixed adhesive prosthesis associated with aesthetic periodontal surgery. The present case report was conducted in the Integrated Clinic II of the Federal University of Alfenas, to which the patient showed up complaining about her smile. The clinical examination showed class IV restorations in a composite resin with an unsatisfactory clinical appearance, gingival zeniths alteration, and an absence of the tooth 22, replaced by a splint temporary prosthesis in the adjacent teeth. Thus, the following clinical sequence was performed upper and lower dental bleaching and anterior superior gingivoplasty. After healing, dental preparation, molding, confection and cementation of two ceramic crowns were performed on teeth 11 and 12 and the preparation of a fixed partial protection of 3 elements (21, 22 and 23) in glass fiber reinforced ceramics. At the end of treatment, it was possible to reestablish function and esthetics in a low-cost approach that ensured patient satisfaction. Thus, the association of various rehabilitation modalities of dentistry, such as periodontics, prosthesis, and dentistry, provided the patient with normal occlusal patterns, recovery of periodontal health, and a harmonious smile.
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References
Al-Harbi F, Ahmad I. A guide to minimally invasive crown lengthening and tooth preparation for rehabilitating pink and white aesthetics. Br Dent J. 2018;224(4):228-34.
Witt M, Flores-Mir C. Laypeople's preferences regarding frontal dentofacial esthetics: tooth-related factors. JAMA. 2011;142(6):635-45.
Deas DE, Mackey SA, Sagun RS, Hancock RH, Gruwell SF, Campbell CM. Crown lengthening in the maxillary anterior region: a 6-month prospective clinical study. Int J Periodontics Restorative Dent. 2014;34(3):365-73.
Ngoc VTN, Tran DK, Dung TM, Anh NV, Nga VT, Anh LQ et al. Perceptions of dentists and non-professionals on some dental factors affecting smile aesthetics: a study from Vietnam. Int J Environ Res Public Health. 2020;17(5):1638.
Hamasni FM, Majzoub ZAK. Effect of patient- and surgery-related factors on supracrestal tissue reestablishment after crown lengthening procedure. Quintessence Int. 2019;50(10):792-801.
Cervino G, Fiorillo L, Arzukanyan AV, Spagnuolo G, Cicciu M. Dental restorative digital workflow: digital smile design from aesthetic to function. Dent J (Basel). 2019;7(2):30.
Sulieman MAM. An overview of tooth-bleaching techniques: chemistry, safety and efficacy. Periodontology 2000. 2008;48:148-69,
Joiner A. The bleaching of teeth: a review of the literature. J Dent. 2006;34(7):412-19.
de Geus JL, Wambier LM, Kossatz S, Loguercio AD, Reis A. At-home vs In-office Bleaching: A Systematic Review and Meta-analysis. Operative Dent. 2016;41(4):341-56.
Ribeiro FV, Hirata DY, Reis AF, Santos VR, Miranda TS, Faveri M et al. Open-flap versus flapless esthetic crown lengthening: 12-month clinical outcomes of a randomized controlled clinical trial. J Periodontol. 2014;85(4):536-44.
Arias DM, Trushkowsky RD, Brea LM, David SB. Treatment of the Patient with Gummy Smile in Conjunction with Digital Smile Approach. Dent Clin North Ame. 2015;59(3):703-16.
De Rouck T, Eghbali R, Collys K, De Bruyn H, Cosyn J. The gingival biotype revisited: transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva. J Clin Periodontol. 2009;36(5):428-33.
Perez JR, Smukler H, Nunn ME. Clinical evaluation of the supraosseous gingivae before and after crown lengthening. J Periodontol. 2007;78(6):1023-30.
Januario AL, Barriviera M, Duarte WR. Soft tissue cone-beam computed tomography: a novel method for the measurement of gingival tissue and the dimensions of the dentogingival unit. J Esth Restorative Dentistry. 2008;20(6):366-73; discussion 74
Takahashi CU, De Cara AA, Contin I. Resistance to fracture of direct restorations with cuspal coverage in endodontically treated upper bicuspids. Braz Oral Res. 2001;15(3):247-51.
Ahmed KE, Li KY, Murray CA. Longevity of fiber-reinforced composite fixed partial dentures (FRC FPD)-Systematic review. J Dent. 2017;61:1-11.
Frese C, Decker C, Rebholz J, Stucke K, Staehle HJ, Wolff D. Original and repair bond strength of fiber-reinforced composites in vitro. Dental Mater.2014;30(4):456-62.