Conservative Esthetic Approach of Anterior Teeth Using Minimal Intervention and Preservation of all Sound Tooth Tissue: a Case Report

  • Janaina Emanuela Damasceno State University of Campinas, Department of Restorative Dentistry, Piracicaba Dental School. SP, Brazil
  • Priscila Matos Pedreira State University of Campinas, Department of Restorative Dentistry, Piracicaba Dental School. SP, Brazil
  • Thiago Ozi Bueno State University of Campinas, Department of Periodontology, Piracicaba Dental School. SP, Brazil
  • Mariana Valerio Pallone State University of Campinas, Piracicaba Dental School. SP, Brazil
  • Thais Escobar Fava State University of Campinas, Piracicaba Dental School. SP, Brazil
  • Giselle Maria Marchi University of Campinas, Department of Restorative Dentistry. SP, Brazil.

Resumo

Abstract

This clinical case report describes a conservative approach to a smile harmony rehabilitation performing a gingivoplasty, dental bleaching and resin-based composites to finalize the case. This clinical article describes the case report of a patient in need of an esthetic and corrective solution for the anterior teeth, which presented a disharmonic smile, in its shape and color, besides the gingival smile. As a result, gingivoplasty, dental bleaching and restoration with composite resin were done. Gingivoplasty with bone preservation was possible because there was a large volume of soft tissue, and a distance ≥ 2 mm from the bone crest to the junction cementum enamel was confirmed. Bleaching was performed with the use of associated techniques: office (Whiteness HP 35%) and supervised at-home (Whiteness Perfect 10%) bleaching were performed, and then the "buccolingual technique" using a nanocomposite resin IPS was used from a diagnostic wax-up to perform the restorative procedure for the anterior teeth. The use of minimally invasive techniques is an effective alternative for the  anterior teeth rehabilitation. As in this case, the gingivoplasty, dental bleaching with associated techniques, and restorations with nanocomposites allowed satisfactory esthetic results, even more so in relation to dental preservation, mainly in young patients.

 

Keywords: Tooth Bleaching. Gingivoplasty. Esthetic. Dental Restoration

Abstract

This clinical case report describes a conservative approach to a smile harmony rehabilitation performing a gingivoplasty, dental bleaching and resin-based composites to finalize the case. This clinical article describes the case report of a patient in need of an esthetic and corrective solution for the anterior teeth, which presented a disharmonic smile, in its shape and color, besides the gingival smile. As a result, gingivoplasty, dental bleaching and restoration with composite resin were done. Gingivoplasty with bone preservation was possible because there was a large volume of soft tissue, and a distance ≥ 2 mm from the bone crest to the junction cementum enamel was confirmed. Bleaching was performed with the use of associated techniques: office (Whiteness HP 35%) and supervised at-home (Whiteness Perfect 10%) bleaching were performed, and then the "buccolingual technique" using a nanocomposite resin IPS was used from a diagnostic wax-up to perform the restorative procedure for the anterior teeth. The use of minimally invasive techniques is an effective alternative for the  anterior teeth rehabilitation. As in this case, the gingivoplasty, dental bleaching with associated techniques, and restorations with nanocomposites allowed satisfactory esthetic results, even more so in relation to dental preservation, mainly in young patients.

 

Keywords: Tooth Bleaching. Gingivoplasty. Esthetic. Dental Restoration

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Publicado
2019-12-20