Subject(s)
Dental Restoration, Permanent/classification , Esthetics, Dental , Acid Etching, Dental/methods , Composite Resins/chemistry , Dental Materials/chemistry , Dental Polishing/methods , Dental Restoration, Permanent/methods , Female , Humans , Methacrylates/chemistry , Middle Aged , Nanocomposites/chemistry , Patient Care Planning , Phosphoric Acids/chemistry , Prosthesis Coloring , Resin Cements/chemistry , Retreatment , Tooth Preparation/methodsSubject(s)
Composite Resins/chemistry , Dental Materials/chemistry , Dental Restoration, Permanent/methods , Esthetics, Dental , Adult , Aluminum Compounds/chemistry , Color , Dental Cavity Preparation/methods , Dental Polishing/methods , Female , Fluorides/chemistry , Glass/chemistry , Humans , Nanocomposites/chemistry , Patient Care Planning , Retreatment , Silicon Compounds/chemistry , Strontium/chemistryABSTRACT
Although in-office and dentist-monitored vital night-guard bleaching have proved successful for whitening teeth, in some cases involving stark white spots, additional efforts may be required. This clinical case demonstrates the use of a combination in-office and take-home whitening regimen, followed by the in-office and home application of a paste containing casein phosphopeptide and amorphous calcium phosphate, both of which are believed to help replace lost minerals in teeth, make teeth stronger, and help protect them from decay and erosion. The patient's teeth successfully lightened from an initial shade of A2 to a uniform shade of B1. The white spots that were still visible after the bleaching process had disappeared into the tooth structure after the 3-week at-home use of the remineralizing paste. However, at the 3-month recall appointment, some relapse in the appearance of the white spots was noted. Although more research is needed to assess the broader implications of the technique, the author concludes that this individualized result suggests that products with the potential to remineralize tooth structure might be useful adjuncts to traditional tooth-bleaching processes to achieve a uniform appearance when white spots are present.
Subject(s)
Tooth Bleaching , Tooth Remineralization/methods , Adult , Cariostatic Agents/therapeutic use , Caseins/therapeutic use , Humans , Hydrogen Peroxide/therapeutic use , Male , Oxidants/therapeutic use , Recurrence , Tooth Demineralization/drug therapy , Tooth Discoloration/drug therapySubject(s)
Ceramics , Crowns , Dental Porcelain , Dental Prosthesis Design , Esthetics, Dental , Adult , Color , Dental Impression Technique , Dental Materials , Female , Humans , Incisor , Maxilla , Patient Care Planning , Patient Education as Topic , Patient Satisfaction , Surface Properties , ZirconiumSubject(s)
Composite Resins , Dental Restoration, Permanent/methods , Diastema/therapy , Esthetics, Dental , Gingivoplasty , Adult , Color , Dental Bonding , Female , Gingiva/anatomy & histology , Humans , SmilingABSTRACT
The conservative correction of stained anterior dentition is well-suited to minimally invasive techniques that first incorporate in-office, light-activated bleaching, and take-home, dentist-monitored tray bleaching. The second most conservative approach is the placement of direct composite restoratives, including recently introduced flowable varieties that help the clinician more precisely and predictably place these materials. This article demonstrates a conservative treatment sequence for in-office bleaching and direct composite placement for the aesthetic correction of discolored anterior maxillary dentition.
Subject(s)
Composite Resins , Dental Veneers , Tooth Bleaching/methods , Tooth Discoloration/therapy , Adult , Female , Humans , Incisor , MaxillaSubject(s)
Tooth Bleaching/methods , Adult , Dental Devices, Home Care , Dentin Sensitivity/chemically induced , Dentin Sensitivity/prevention & control , Humans , Hydrogen Peroxide/adverse effects , Hydrogen Peroxide/therapeutic use , Hydrogen-Ion Concentration , Light , Male , Oxidants/adverse effects , Oxidants/therapeutic use , Titanium , Tooth Bleaching/adverse effects , Tooth Discoloration/therapySubject(s)
Composite Resins , Dental Restoration, Permanent/methods , Diastema/therapy , Adult , Dental Bonding , Esthetics, Dental , Humans , Incisor , Male , Maxilla , Resin Cements , Tooth PreparationABSTRACT
Currently it is possible to use direct composites and layering techniques to replicate the complex internal structures, visible shape, color, and surface anatomy of natural teeth. To do so, however, requires dentists to understand the principles of nature and the science of dental materials to determine the most suitable restorative material for a specific indication. By incorporating relatively new technologies--colorimetric analysis, which provides computerized shade guide definitions of a tooth and essential information to verify shade mapping, and a new nanotechnology-based direct composite--into composite layering techniques, dentists can more predictably replicate the esthetics of natural teeth. This article presents a case in which both technologies, used in combination with a composite layering technique, contributed to the esthetic and functional restoration of the maxillary central incisors.
