ABSTRACT
Introdução: a estética do sorriso pode ser alcançada por um conjunto de fatores que incluem a anatomia dentária, a anatomia gengival e as características faciais do paciente. Um sorriso agradável é baseado na harmonia desses fatores (estética branca-vermelha) e não somente na reabilitação dentária. O sorriso gengival é uma das principais queixas de pacientes que procuram o consultório odontológico, considerando que tal situação pode influenciar na sua vida pessoal ou profissional Objetivo: o propósito deste trabalho foi relatar o caso clínico de uma paciente com sorriso gengival e desarmonia entre a margem gengival e alinhamento das coroas clínicas de dentes anterossuperiores. Relato de Caso: paciente do sexo feminino, 58 anos de idade, com boa saúde geral, procurou consultório odontológico particular com o objetivo de melhorar a estética do sorriso. Ao exame clínico foi constatado sorriso gengival e necessidade de substituição presença de coroas metalo-cerâmicas. Considerações finais: a abordagem multidisciplinar envolvendo a técnica cirúrgica (retalho com osteotomia) e restauradora (confecção de facetas feldspáticas e coroas de porcelana pura na região anterossuperior) proporcionou o sucesso do tratamento reabilitador em questão, devolvendo à paciente um sorriso harmonioso com estética dentária e gengival agradáveis.
Introduction: smile's aesthetics can be achieved by a set of factors that include the dental anatomy, gingival anatomy and facial features of the patient. A pleasant smile is based on the harmony of these factors (white-red aesthetics) and not only on dental rehabilitation. The gingival smile is one of the main complaints of patients who seek the dental office, considering that such a situation may influence their personal or professional life. Objective: the purpose of this study was to report the clinical case of a patient with gingival smile and disharmony between the gingival margin and the alignment of the clinical crowns of anterosuperior teeth. Case Report: a 58-yearold female patient with good general health sought a private dental office with the aim of improving the aesthetics of the smile. The clinical examination revealed gingival smile and the need to replace the presence of metal-ceramic crowns. Final considerations: The multidisciplinary approach involving the surgical technique (restorative flap with osteotomy) and restorative (creation of feldspar facets and pure porcelain crowns in the anterior superior region) provided the success of the rehabilitation treatment in question, giving the patient a harmonious smile with aesthetics tooth and gum.
Subject(s)
Female , Middle Aged , Esthetics, Dental , Periodontics , SmilingABSTRACT
A microabrasão consiste de um recurso minimamente invasivo para a regularização de alterações superficiais de esmalte, que proporciona a remoção de manchas ou defeitos da superfície dental por meio de um desgaste mínimo, com o auxílio de substâncias ácidas associadas a abrasivos, o que resulta em uma superfície lisa e com brilho. Este estudo objetiva apresentar um caso clínico de microabrasão de esmalte com hipoplasia severa causada por fluorose, de forma a devolver a estética do sorriso e a autoestima. A técnica mostrou-se simples, eficaz e pouca invasiva, alcançando excelente resultado estético...
Microabrasion is a minimally invasive procedure for smoothing superficial enamel changes, which removes staining or surface defects by minimum wear, with the help of acidic substances associated with abrasive pastes, resulting in smooth, glossy surfaces. This study aims to present a case of enamel microabrasion with severe hypoplasia caused by fluorosis, restoring the aesthe-tics of the smile and self-esteem. The technique proved to be simple, effective and minimally invasive, reaching excellent aesthetic results...
Subject(s)
Humans , Female , Young Adult , Dental Enamel Hypoplasia , Enamel Microabrasion , Esthetics, Dental , Fluorosis, DentalABSTRACT
Objective To evaluate the clinical aesthetic effect of immediate implant and immediate prosthesis by the free connec-tive tissue transplantation with periosteum in the maxillary anterior region.Methods 65 appropriate patients were selected and per-formed the immediate implant after minimally invasive tooth extraction.6 5 pieces of implants were implanted immediately by the free connective tissue transplantation with periosteum in the aesthetic area,among them,10 cases were implanted by Bio-oss bone. All missing teeth were immediately repaired by temporary denture,after the implant osseointegration,the permanent repair was per-formed.From the preoperation to 1 8 months after permanent repair,the aesthetic evaluation was conducted by stages,including the labial peri-implant soft tissue fullness and pink aesthetic scores(PES).Results In the tracing assessment period,the peri-implant fullness evaluation showed that degree 0 was found in 5 tooth positions before the operation,degree Ⅰin 60 tooth positions,degreeⅡ in 0 tooth position,but after immediate restoration,degree 0 in 0 tooth position,degree Ⅰin 45 tooth positions and degree Ⅱ in 20 positions.The PES total value reached the maximum in 3 months after permanent restoration.Conclusion Immediate implant and immediate prosthesis by the free connective tissue transplantation with periosteum in the maxillary aesthetic area can obtain better aesthetic results.
ABSTRACT
Objetivo: Comparar los valores obtenidos con sonda milimetrada y compás de punta seca como instrumentos de medida en la aplicación del Índice Estético Dental (DAI). Metodología: En 50 pacientes mayores de 12 años con dentición permanente, del Hospital Odontológico de la Facultad de Odontología de la Universidad Nacional del Nordeste (UNNE), se midieron las variables que componen el DAI, alternando ambos instrumentos de medición y se calculó el DAI. Resultados: En un 86 % de los casos ambos instrumentos arrojaron valores idénticos para las variables del DAI y en el 14 % restante las variaciones no superaron el mm. La correlación entre la puntuación final del DAI, midiendo las variables con sonda milimetrada y con compás de punta seca, fue estadísticamente significativa (r= 0,999). Conclusión: Las variaciones entre las medidas no influyeron en la puntuación final del índice lo que valida a la sonda milimetrada como instrumento de registro para el cálculo del DAI.
Objective: Compare the values obtained with calibrated probe and with drypoint compass as measuring instrument in implementing the Dental Aesthetic Index (DAI). Methodology: In 50 patients over 12 years with permanent dentition from ofDental Hospital, Faculty of Dentistry UNNE,were measured the variables that built the DAI, alternating both measuring instruments and estimated the DAI. Results: In 86% of cases both instruments yielded identical values for the DAI variables and the remaining 14% did not exceed one mm. The correlation between the final score of the DAI, measuring variables with calibrated probe and drypoint compass, was statistically significant (r = 0.999). Conclusions: Variations between measures not influence the final score of the indexvalidates the calibrated probe as a tool of registration for calculating the DAI.