RESUMO
Direct composite restorations represent a minimally invasive, aesthetic treatment option. The development of contemporary bonding procedures has allowed for improved aesthetics and restorative success. Incorporation of predictable adhesive protocols will increase the restoration's longevity and durability. This article presents the restorative procedures, adhesive protocol, and insertion considerations that must be addressed when using resin bonded options.
Assuntos
Resinas Compostas , Restauração Dentária Permanente/métodos , Condicionamento Ácido do Dente , Adesivos , Polimento Dentário , Humanos , IncisivoRESUMO
Contemporary composite resin materials have significantly evolved, facilitating the delivery of aesthetic and functional restorations. The predictability of this treatment modality has been significantly improved by the introduction of adhesive protocols. This three-part series proposes a simplified protocol and the fundamentals for minimally invasive, aesthetic, direct adhesive restorations of anterior teeth. The first part of this series offers an overview of the state-of-the-art relating to composite restorations, both in situations deemed to be relatively uncomplicated and those that are more challenging.
Assuntos
Resinas Compostas , Colagem Dentária , Restauração Dentária Permanente/métodos , Adesivos , Cárie Dentária/terapia , Estética Dentária , Humanos , IncisivoRESUMO
UNLABELLED: In the attempt to restore anterior teeth affected by erosion and bruxism, many clinicians have been frustrated with the constant restorative failures. Frequently, these failures are attributed to the restorative materials employed, especially in cases in which composite resins are used. However, some flaws of the restorations are related to the oversight of occlusal principles. The purpose of this article is to discuss the etiology, signs, and symptoms of incisal wear, with special attention to that caused by bruxism and chemical erosion. Relatively simple management techniques (e.g., occlusal adjustment, adhesive restorations) are proposed, and the diagnosis and management of a representative clinical case is presented. CLINICAL SIGNIFICANCE: In some cases of bruxism and/or dental erosion, it is possible to acquire space to recuperate the esthetics and function of maxillary incisors affected by incisal wear through a conservative treatment associated with the control of the etiologic factors.
