Cierre de diastema con resinas compuestas híbridas / Diastema closure with hybrid composite resins

El tratamiento para el cierre de diastemas fundamentalmente está enfocado a otorgar estética y salud periodontal. Los diastemas pueden ser resueltos con prótesis y ortodoncia, sin embargo, estas opciones generalmente requieren de preparaciones del tejido sano, incluyen procedimientos de laboratorio y aumentan el tiempo clínico. La utilización de resinas compuestas constituye una opción estética y funcional para estos casos en los que se requiere de mínima intervención sobre el tejido sano o de ninguna. El propósito de esta presentación es describir un caso de cierre de diastema central anterosuperior utilizando resinas compuestas híbridas. Una paciente femenina de 21 años de edad acude a consulta para tratarse un diastema central superior. Se le propuso realizarle un cierre con resina compuesta híbrida. Se aplicó consentimiento informado y se obtuvo aprobación. Se realizó resolución del diastema con técnica incremental con resina híbrida hasta lograr el punto de contacto cuidando la salud periodontal. Se planificó el tratamiento, se pulieron las superficies a incrementar, se aplicaron sistemas adhesivos y se aplicaron capas de resina hasta lograr el resultado deseado. Mejoró la estética y se logró la total satisfacción de la paciente. En este caso, los pasos de la técnica de restauración directa con incremento d4e resina compuesta híbrida fueron seguidos adecuadamente. Se logró el cierre del diastema y el restablecimiento del punto de contacto sin forzar la papila interdental(AU)

Treatment for diastema closure is mainly aimed at providing periodontal health and an appropriate esthetic appearance. Diastemata may be treated with prosthesis and orthodontics, but these options generally require preparation of the healthy tissue, including laboratory procedures which increase clinical time. The use of composite resins is an esthetic, functional option for cases in which little or no intervention is required upon healthy tissue. The paper is aimed at describing a case of central anterior superior diastema closure using hybrid composite resins. A 21-year-old female patient presents at consultation requesting treatment for a central superior diastema. Closure with hybrid composite resin was suggested. After obtaining informed consent, resolution of the diastema was performed using an incremental technique with hybrid resin until the contact point was reached, taking care of periodontal health. Treatment was planned, the surfaces to be increased were polished, adhesive systems were applied and resin layers were placed until the desired result was achieved. Esthetic appearance was improved, with total patient satisfaction. In this case the steps of direct restoration technique with hybrid composite resin increase were adequately followed. Diastema closure and contact point restoration were achieved without forcing the interdental papilla(AU)

Implant-supported overdenture: a standard of care for edentulous patients

Implants have had a significant impact on current prosthodontic treatment of edentulous patients.as a result of the development of osseointegrated dental implants, new treatment options have become available and new prosthetic designs have emerged. Overdentures supported by few implants dramatically improve patient comfort and acceptance as well as oral function compared to conventional denture. Different type of attachment was introduced for implant-supported overdenture that improves quality of life of geriatric populations in both function and esthetic