RESUMO
The restoration of peg lateral incisors poses considerable aesthetic and functional issues. This case report describes the use of a putty index approach for conservatively restoring peg-shaped maxillary lateral incisors with resin composites. A 21-year-old female patient with good periodontal health and appropriate occlusal interactions had treatment at the Department of Conservative Dentistry and Endodontics. The restoration method included initial impressions, shade selection, etching, bonding, and gradual composite application, followed by curing and polishing. The putty index was used as a reference to accurately recreate the palatal enamel. This approach provides a low-cost, minimally intrusive treatment that maintains natural tooth structure while producing satisfactory aesthetic outcomes. Direct adhesive resin restorations are being highlighted as a feasible option, as technology and bonding techniques progress. This case shows the significance of modifying treatment plans based on patient characteristics and practitioner expertise.
RESUMO
Root canal treatment of vital, non-infected teeth can often be completed in a single visit, negating the necessity for dressing and provisionalization. Conversely, cases involving infected canals typically demand multiple visits, during which antibacterial medicaments are applied, making effective provisionalization crucial for varying durations. The key components of a successful root canal treatment include adequate canal shape to promote efficient obturation, thorough chemical and mechanical debridement, and complete removal of pulp tissue remnants and bacteria. The primary cause of pain following the initiation of endodontic treatments is often attributed to inadequate debridement or incomplete removal of the pulp tissue, closely followed by insufficient temporary restorations. This review aims to comprehensively overview provisionalization materials used during and immediately after endodontic procedures.