ABSTRACT
Dental erosion is a high prevalence condition characterized by the loss of dental substance due to chemical agents. it can also be associated with physical wear, affecting function and aesthetics. ceramic veneers can provide effective solutions to patients affected by erosive disorders, by means of an indirect approach and minimal intervention. recent advances in cementation techniques and ceramic materials have allowed their use in reduced thicknesses, known as "dental contact lenses" or "ultra-thin veneers". they contribute significantly to the preservation of the dental structures, having excellent mechanical properties and providing satisfactory aesthetic solutions. their manufacture requires rigorous planning and the use of three-dimensional models or mock ups in order to preview the final outcome. case: the aim of this report is to communicate the use of this technique for the treatment and successful 12-months follow-up of a patient affected by dental erosion of the maxillary central incisors. special interest was placed on direct mock-up, which is a simple technique not requiring laboratory steps. luting of the lithium disilicate veneers was carried out with a light-curing resin cement and try-in pastes, yielding a very satisfactory result. conclusion: diagnosis and early treatment of this disorder allows the application of conservative techniques, such as ultra-thin veneers, which are seen as a promising alternative treatment to full coverage restorations and traditional ceramic veneers.
Subject(s)
Humans , Female , Adult , Tooth Erosion/rehabilitation , Dental Prosthesis Design/methods , Dental Porcelain , Dental Restoration, Permanent/methods , Tooth Erosion/diagnosis , Tooth Erosion/therapy , Dental Veneers , IncisorABSTRACT
O objetivo do presente trabalho foi apresentar a eficiência do enceramento de diagnóstico para obtenção da excelência em um tratamento estético. A reabilitação oral é um tratamento multidisciplinar e complexo. O planejamento prévio viabiliza procedimentos futuros, minimizando assim os possíveis erros e auxiliando o cirurgião-dentista a definir corretamente e ter uma visão completa do plano de tratamento a ser realizado. É necessário um planejamento personalizado para cada paciente, que inclui radiografias, fotografias, modelos, enceramento de diagnóstico e mock up. Esse método é totalmente reversível, sendo realizado antes de qualquer intervenção invasiva, gerando assim uma segurança tanto para o profissional como para o paciente.
The objective of this work was to present the diagnostic waxing efficiency to achieve excellence in an aesthetic treatment. Oral rehabilitation is a multidisciplinary and complex treatment. Advanced planning enables future procedures, thus minimizing potential errors and helping the dentist to properly define the planning and having a full view of the treatment plan to be performed. A correct personalized plan for each patient is required, including X-rays, photographs, models, diagnostic waxing and mock up. This method is fully reversible and it is performed before any invasive intervention, thereby generating security for both professional and patient.
Subject(s)
Humans , Male , Aged , Crowns , Dental Prosthesis , Dental Prosthesis Design , Esthetics, Dental , Mouth Rehabilitation , Vertical DimensionABSTRACT
A busca pela estética tem acentuado a procura dos pacientes pela transformação do sorriso. Com o auxílio da fotografia e da tecnologia computacional, é possível a realização do DSD (digital smile design planejamento digital do sorriso), que nos dá maior previsibilidade do tratamento. A confirmação deste planejamento digital se dá na prova do mock-up, a partir do qual o paciente tem a real sensação do seu sorriso planejado. Este artigo apresentou um caso clínico no qual se destaca a adesão do paciente ao tratamento e a realização de cirurgia periodontal para aumento de coroa clínica, seguida de restaurações diretas com resinas compostas, posterior ao enceramento diagnóstico. Com o planejamento integrando a terapia cirúrgica periodontal e o protocolo restaurador adesivo direto guiado por planejamento digital (DSD), foi possível estabelecer um excelente resultado com uma elevada satisfação do paciente.
The seek for esthetics has increased patient´s demand for the smile makeover. With the help of computational technology, it is possible to perform the DSD (digital smile design) with greater treatment predictability treatment. Confirmation of this digital planning occurs in the mock-up test, from which the patient has a physical sensation of his/her planned smile. This article presents a clinical case which highlights the patient cooperation and periodontal surgery for crown lengthening, followed by direct composite resin restorations after the diagnostic wax-up procedure. With an integrated treatment planning guided by the DSD protocol, it was possible to establish an excellent outcome with high patient satisfaction.
Subject(s)
Humans , Female , Adult , Composite Resins/therapeutic use , Esthetics, Dental , Gingivoplasty/methods , Photography, Dental , Smiling , Technology, DentalABSTRACT
Debido a sus resultados estéticos y a la máxima conservación de la estructura dentaria, las carillas de disilicato de litio se encuentran indicadas para el tratamiento estético de los dientes anteriores que tengan anomalía en la forma, tamaño y color. El objetivo de este caso es demostrar los pasos en la rehabilitación utilizando carillas de disilicato de litio. El paciente presenta diastemas desde los dientes 15 a 25, se realizo el examen clínico general y oral, se obtuvieron los modelos de estudio, se realizo el encerado diagnóstico en base al DSD y se confeccionó el Mock up con silicona de adición; el laboratorio fabrico las carillas en disilicato de litio y se cementaron con técnica adhesiva. Las carillas permitieron un tratamiento rehabilitador conservador, funcional y estético de nuestro paciente
Because the aesthetic results and preservation of tooth structure, lithium disilicate veneers are indicated for the aesthetic treatment of anterior teeth with abnormal shape, size and color. The aim of this report was to demonstrate the steps in oral rehabilitation using lithium disilicate veneers. The patient had teeth diastemas from 15 to 25; general and oral clinical examination was performed, and study models were obtained. waxed diagnosis was made based on the DSD and Mockup was drawn with addition silicone; the laboratory fabricate veneers lithium disilicate were cemented by adhesive technique. Veneers allowed a conservative, functional and aesthetic rehabilitation treatment of our patient