ABSTRACT
OBJECTIVE: This article describes the use of flowable injectable composite resins to facilitate transitional treatment of a complex complete mouth rehabilitation. CLINICAL CONSIDERATIONS: Some patients require urgent and complex complete mouth rehabilitations that are time and cost intensive. Financial considerations can prevent some patients from pursuing treatment. This can result in the oral conditions worsening over time and compromising the long-term prognosis of the teeth. CONCLUSIONS: Injectable composite resins can be used as a transitional bonding material for complex cases using an injection molding technique utilizing clear indices obtained from a diagnostic waxing. This allows for a full mouth rehabilitation to be performed in a single appointment, producing instant results. CLINICAL SIGNIFICANCE: Transitioning with injectable composite as demonstrated in this case will immediately stabilize an otherwise deteriorating situation in a cost-effective way and allows patients to address the realities of financial or time constraints when transitioning to more durable porcelain restorations over a period of years.
Subject(s)
Composite Resins , Mouth Rehabilitation , Humans , Dental Porcelain , Dental Restoration, Permanent/methodsABSTRACT
This article reviews the case of a female patient with high esthetic expectations who, despite having recently completed orthodontic therapy, was seeking a significant improvement to her smile. Upon examination, it was determined that the patient was experiencing difficulty functioning. Following analysis utilizing a Kois deprogrammer, occlusal dysfunction was diagnosed. Due to the functional and other biomechanical issues, the clinician determined that it was imperative to conduct a detailed data collection and implement a systematic approach to treatment planning in order to achieve a successful outcome, which was accomplished with veneer restorations.
Subject(s)
Dental Porcelain , Dental Veneers , Adult , Biomechanical Phenomena , Dental Occlusion , Dental Restoration, Permanent , Esthetics, Dental , Female , Gingiva/surgery , Humans , Malocclusion/diagnosis , Malocclusion/therapy , Periodontitis/therapy , Prognosis , Radiography, Dental , Risk Assessment , Smiling , Tooth BleachingABSTRACT
Despite the best diagnostic efforts, the etiology of a patient's dental disease may remain elusive. Without knowing the underlying disease factors, predictable outcomes are difficult to obtain. This case report describes the diagnosis and treatment of a patient who felt embarrassed by the appearance of his smile and was desperately seeking a solution. Despite meticulous data collection and a systematic diagnostic approach, the disease etiology could not be determined. It was, therefore, decided to treat the patient with non-invasive transitional directly bonded composite to road test his new teeth. In this way, a determination could be made as to whether they would function successfully over time.