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1.
Angle Orthod ; 90(5): 627-633, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-33378481

RESUMO

OBJECTIVES: To evaluate the stability of maxillary interincisor diastema closure and the relationship between space relapse and interincisor diastema width, overjet, overbite, angulations between adjacent maxillary anterior teeth and presence of intermaxillary osseous cleft after orthodontic treatment with extractions. MATERIALS AND METHODS: Twenty-four individuals with a maxillary interincisor diastema pretreatment, treated with maxillary first premolar extractions were evaluated. Dental casts and panoramic radiographs taken at pretreatment (T1), posttreatment (T2), and posttreatment follow-up (T3) were assessed. Periapical radiographs at T1 and T2 were also evaluated. Diastema relapse was assumed when T3-T2 interincisor space change was greater than zero. Diastema relapse was considered clinically significant when it was at least 0.50 mm. Data were analyzed using repeated-measures analysis of variance followed by post hoc Tukey tests or Friedman followed by Wilcoxon tests. T-test or Mann-Whitney U-test, Pearson correlation coefficient, and multiple linear regression analyses were also performed. RESULTS: No statistically significant relapse of maxillary interincisor diastemas was found. The percentage of clinically significant relapse of the maxillary interincisor diastemas was 27.78%. Specifically, for the interincisor midline diastema, it was 8.33%. CONCLUSIONS: Maxillary interincisor diastema closure showed no statistically significant relapse after orthodontic treatment with premolar extractions. Clinically significant stability for maxillary interincisor diastema closure was 72.22% and, specifically, for interincisor midline diastema closure, it was 91.67%.


Assuntos
Diastema , Má Oclusão de Angle Classe II , Sobremordida , Diastema/terapia , Humanos , Incisivo , Maxila/diagnóstico por imagem
2.
Am J Orthod Dentofacial Orthop ; 158(4): e37-e42, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32988573

RESUMO

INTRODUCTION: With the increasing demand for facial esthetics, patients' expectations regarding dental treatment have increased. The treatment of maxillary median diastemas (MMDs) stands out as one of the most noticeable esthetic alterations performed on patients. The objectives of the present article were to evaluate the effects of MMD and its restorations on the esthetics of a smile and to determine the differences in esthetic perceptions among 3 different groups of patients: orthodontists, prosthodontists, and laypeople. METHODS: Printed photographic images were randomly arranged in an album that contained the original photograph of the smile, 8 photographs with digitally created diastemas (0.5 mm, 1.0 mm, 1.5 mm, 2.0 mm, 2.5 mm, 3.0 mm, 4.0 mm, and 5.0 mm), and 8 with simulated restorations of these spaces. Each evaluator assigned scores to the images using a 100-mm visual analogue scale. RESULTS: Orthodontists, prosthodontists, and laypeople presented similar perceptions regarding the levels of attractiveness of the original smiles and those of smiles involving restorations of diastemas with widths of 0.5 mm and 1.0 mm. The ratings assigned to the smiles with diastemas differed significantly from those of the corresponding restored smile with the same magnitude of diastema. CONCLUSIONS: The prosthetic space closure of diastemas is better than leaving the space untreated. Restorations of MMD up to 1 mm perform similar to orthodontic closure. Larger MMDs are ideally treated with orthodontics because the restorative treatment is more invasive, leading to incremental damage to the dental tissues.


Assuntos
Diastema/terapia , Atitude do Pessoal de Saúde , Estética Dentária , Humanos , Incisivo , Maxila
3.
Oper Dent ; 45(5): 467-472, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32243254

RESUMO

This article describes an indirect composite restoration technique for diastema closure and tooth lengthening with a noninvasive approach using regularly available materials such as silicone, composite resin, and an adhesive system. The procedure resulted in occlusal and functional improvement, with diastema closure, protrusive guide adjustment, and an increase in central incisor length. The procedure provided an adequate proportion of the central incisors with an esthetically natural appearance. It also resulted in simple, fast, and accurate manufacturing with a noninvasive esthetic indirect rehabilitation compared with more invasive preparation of ceramic veneers.


Assuntos
Facetas Dentárias , Diastema , Resinas Compostas , Diastema/terapia , Estética Dentária , Humanos , Incisivo
4.
Am J Orthod Dentofacial Orthop ; 156(3): 401-411, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31474270

RESUMO

A 24-year-old man presented with a severe skeletal class III malocclusion, associated with an anterior and posterior crossbite in the left side, upper and lower lip eversion, skeletal asymmetry, midline discrepancy, diastemas in the maxillary and mandibular dental arches, and agenesis of maxillary lateral incisors and canines with retained deciduous teeth. Treatment was performed with the use of the Win Lingual System. When the 0.016 × 0.022-inch NiTi archiwire was applied, the deciduous teeth were extracted and replaced with temporary crowns connected to the appliance. After the aligning, leveling, and diastema closure phases, a modified Le Fort II osteotomy, a mandibular setback with a bilateral sagittal split osteotomy and a genioplasty were performed. Implants were placed in the canine site through a flapless guided surgery, and cantilevered temporary bridges were delivered. Final prosthetic rehabilitation included veneers for the central incisors and zirconia-ceramic cantilevered bridges for the canine and lateral incisors. After 36 months of active treatment, the patient showed an Angle Class I molar and canine relationship and an ideal overbite and overjet. His profile had improved, lips were competent, and gingival levels were acceptable. The lateral radiograph and cephalometric analysis showed a good balance of the skeletal pattern, a good profile of the soft tissue, and proper inclinations of the maxillary and mandibular incisors in relation to maxilla and mandible. After 2 years of follow-up, the patient had a pleasant smile and no relapse, or joint or muscular pain.


Assuntos
Anodontia/complicações , Má Oclusão de Angle Classe III/terapia , Desenho de Aparelho Ortodôntico/instrumentação , Desenho de Aparelho Ortodôntico/métodos , Aparelhos Ortodônticos , Adulto , Cefalometria , Dente Canino , Implantação Dentária Endo-Óssea , Implantes Dentários , Modelos Dentários , Diastema/cirurgia , Diastema/terapia , Estética Dentária , Humanos , Incisivo , Lábio , Masculino , Má Oclusão de Angle Classe I/complicações , Má Oclusão de Angle Classe III/diagnóstico por imagem , Má Oclusão de Angle Classe III/reabilitação , Má Oclusão de Angle Classe III/cirurgia , Mandíbula/cirurgia , Maxila/cirurgia , Dente Molar , Procedimentos de Ancoragem Ortodôntica/instrumentação , Procedimentos de Ancoragem Ortodôntica/métodos , Braquetes Ortodônticos , Fios Ortodônticos , Osteotomia , Sobremordida/terapia , Radiografia Panorâmica , Técnicas de Movimentação Dentária/instrumentação , Técnicas de Movimentação Dentária/métodos , Adulto Jovem
5.
Int Orthod ; 17(3): 596-605, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31279756

RESUMO

Maxillary midline diastema is a common aesthetic concern of dental patients. Various treatment modalities have been employed to close diastemas. This case report describes an unusual orthodontic treatment approach for a 25-year-old African American female patient with a large maxillary midline diastema of 5mm, bialveolar dental protrusion and unilateral Class III malocclusion. The treatment included one mandibular incisor extraction, followed by retraction of the incisors. At the end of the 16-month active treatment period, favourable aesthetic and occlusal outcomes were attained. Closure of midline diastema, good overjet and overbite with Class I molar relationships were achieved. CLINICAL SIGNIFICANCE: Fixed orthodontic treatment with single mandibular incisor extraction can be an effective treatment choice for a large maxillary midline diastema. With careful selection of the case and treatment planning, successful results can be obtained.


Assuntos
Diastema/terapia , Incisivo/cirurgia , Mandíbula/cirurgia , Extração Dentária , Técnicas de Movimentação Dentária/métodos , Adulto , Afro-Americanos , Cefalometria , Modelos Dentários , Estética Dentária , Feminino , Retração Gengival , Humanos , Incisivo/diagnóstico por imagem , Má Oclusão/terapia , Má Oclusão de Angle Classe II/terapia , Má Oclusão de Angle Classe III/diagnóstico por imagem , Má Oclusão de Angle Classe III/terapia , Mandíbula/diagnóstico por imagem , Dente Molar , Sobremordida , Radiografia Panorâmica
6.
J Healthc Eng ; 2019: 1075097, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30944717

RESUMO

The aim of this study was to clarify the effect of attachment on tooth movement produced by a plastic aligner. Closing of a diastema, in which the maxillary right and left central incisors moved bodily, was simulated using a finite element method. Long-term orthodontic movements of the maxillary dentition were simulated by accumulating the initial displacement of teeth produced by elastic deformation of the periodontal ligament. The incisor tipped and rotated just after placement of the aligner irrespective of the attachment. After a sufficiently long time, the incisor was upright and moved bodily in the aligner with attachment, but the incisor remained tipped in the aligner without attachment. It was demonstrated that the attachment was effective for achieving bodily movement.


Assuntos
Diastema/terapia , Maxila/fisiologia , Ortodontia/métodos , Plásticos/química , Técnicas de Movimentação Dentária , Processo Alveolar , Simulação por Computador , Análise de Elementos Finitos , Humanos , Incisivo , Ligamento Periodontal/fisiologia , Distribuição de Poisson , Estresse Mecânico
7.
Arch. Health Invest ; 8(3): 130-133, mar. 2019. ilus
Artigo em Português | BBO - Odontologia | ID: biblio-1006787

RESUMO

A abordagem correta e precoce de paciente infantil frente a alteração de desenvolvimento como a presença de dentes supranumerários modificando a oclusão normal tem apresentado resultados satisfatórios e importantes para manter a função e estética da cavidade bucal. O objetivo deste trabalho é apresentar um caso clínico com tratamento multidisciplinar envolvendo dente supranumerário e diastema interincisal em paciente infantil. Paciente com 7 anos de idade, gênero masculino, compareceu a clínica de Odontopediatria da Faculdade Morgana Potrich, com a queixa de um dente da frente torto. O exame clínico e radiográfico revelou a presença de um mesiodens causando um diastema na região anterior da maxila, com evidentes transtornos estéticos. O plano de tratamento estabelecido foi a remoção cirúrgica do dente supranumerário e tratamento ortodôntico para fechamento do diastema, possibilitando um resultado funcional e estético satisfatório, melhorando a qualidade de vida deste paciente. Dessa forma, o tratamento em paciente com pouca idade propiciou uma intervenção simples e com boa resolubilidade, devolvendo sua autoestima e bem-estar no seu convívio social(AU)


The correct and early approach on children patient in relation to developmental alteration as the presence of supernumerary teeth modifying normal occlusion has presented satisfactory and important results to maintain the function and aesthetics of the oral cavity. The objective of this work is to present a clinical case with multidisciplinary treatment involving supernumerary tooth and interincisal diastema in a child patient. A 7-year-old male patient attended the pediatric dentistry clinic at Morgana Potrich College, complaining of a crooked front tooth. The clinical and radiographic examination revealed the presence of a mesiodens causing a diastema in the anterior region of the maxilla, causing evident aesthetic disorders. The treatment plan established was the surgical removal of the supernumerary tooth and orthodontic treatment for closure of the diastema, allowing a satisfactory functional and aesthetic result, improving the quality of life of this patient. Thus, the treatment in a patient at young age provided a simple and good solvability intervention, giving back his self-esteem and well-being in his social life(AU)


El abordaje correcto y temprano del paciente infantil frente a las alteraciones de desarrollo como la presencia de dientes supernumerarios que modifican la oclusión normal ha presentado resultados satisfactorios e importantes para mantener la función y estética de la cavidad oral. El objetivo de este trabajo es presentar un caso clínico con tratamiento multidisciplinar que involucra un diente supernumerario y diastema interincisal en un paciente infantil. Paciente con 7 años de edad, género masculino, compareció a la clínica de odontopediatría de la facultad Morgana Potrich, con queja de un diente al frente del otro. Al examen clínico y radiográfico se reveló la presencia de un mesiodens causando diastema en la región anterior del maxilar, con evidentes trastornos estéticos. El plan de tratamiento establecido fue la remoción quirúrgica del diente supernumerario y tratamiento ortodontico para cierre del diastema, posibilitando un resultado funcional y estético satisfactorio, mejorando la calidad de vida de este paciente. De esta forma, el tratamiento en un paciente con poca edad propicio una intervención simple y con buena resolución, devolviendo su autoestima y bienestar en su convivencia social(AU)


Assuntos
Humanos , Masculino , Criança , Ortodontia , Dente Supranumerário/cirurgia , Diastema , Dente Supranumerário , Diastema/terapia , Estética Dentária , Reabilitação Bucal
8.
Am J Orthod Dentofacial Orthop ; 154(6): 835-847, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30477782

RESUMO

Spacing between the maxillary anterior teeth is a common concern for young patients and their parents. Patients often consider a diastema to be an annoying but minor problem; they might consult their general dentists for help, or try to address the issue themselves by applying elastic "gap bands." Moreover, parents, without any informed consent, sometimes accept this erroneous method as an easy and inexpensive treatment approach. A 9-year-old boy had severe acute periodontitis involving the maxillary central incisors caused by the placement of an elastic band and its apical migration. Despite periodontal and surgical interventions, the maxillary central incisors were finally extracted, and the patient started orthodontic treatment. The orthodontic treatment plan included maxillary lateral incisor substitution to replace the lost central incisors and mesialization of the maxillary posterior dentition. An interdisciplinary approach with excellent cooperation among the orthodontist, general dentist, and other dental specialists obtained an esthetically pleasing and optimized functional result. Treating the diastema between the anterior teeth with elastic gap bands and without fixed orthodontic appliances should be avoided. Patients should seek proper orthodontic advice for even small-scale orthodontic problems to prevent catastrophic outcomes, as exhibited in this case report.


Assuntos
Diastema/terapia , Incisivo/cirurgia , Maxila/cirurgia , Aparelhos Ortodônticos/efeitos adversos , Ortodontia Corretiva/métodos , Periodontite/complicações , Autocuidado/efeitos adversos , Criança , Humanos , Masculino , Maxila/diagnóstico por imagem , Periodontite/diagnóstico por imagem , Extração Dentária
9.
J Prosthet Dent ; 119(4): 502-505, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28838822

RESUMO

A maxillary midline diastema (MMD) is a common complaint of dental patients. An MMD can be closed with treatment from different disciplines, including operative dentistry and orthodontics. A comprehensive smile analysis is also a necessity before beginning treatment. This article highlights the closure of a 3-mm MMD by using a combination of orthodontics and direct composite resin restorations.


Assuntos
Restauração Dentária Permanente/métodos , Diastema/terapia , Fechamento de Espaço Ortodôntico , Adulto , Resinas Compostas , Estética Dentária , Feminino , Humanos , Aparelhos Ortodônticos
10.
Quintessence Int ; 49(2): 133-137, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29234742

RESUMO

The treatment of diastemas should be conservative to preserve tooth structure, and porcelain veneers provide an esthetic solution with minimal tooth preparation. However, asymmetric diastemas can be difficult to treat and may require redistribution of spaces. Additionally, extensive proximal restorations may negatively impact periodontal health. Minor tooth movement with elastic separators can be used to redistribute the interdental spaces and provide space for the interdental papilla. The aim of this paper was to present a clinical treatment involving the movement of peg-shaped maxillary lateral incisors with elastic separators to rearrange the spaces of asymmetric diastemas, thereby managing the horizontal distance during rehabilitation of the smile with minimally invasive ceramic veneers.


Assuntos
Cerâmica , Facetas Dentárias , Diastema/terapia , Técnicas de Movimentação Dentária , Adolescente , Estética Dentária , Feminino , Humanos
11.
J Oral Maxillofac Surg ; 76(4): 709-715, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29245001

RESUMO

PURPOSE: There is considerable controversy in the literature concerning the indications for frenectomy for treating a maxillary diastema and for timing of the procedure. The purpose of this study was to survey pediatric dentists, orthodontists, and oral and maxillofacial surgeons on their opinion of this matter to develop a consensus. MATERIALS AND METHODS: An anonymous 7-item electronic questionnaire was sent to members of the American Academy of Pediatric Dentists, the American Association of Orthodontists, and the American Association of Oral and Maxillofacial Surgeons asking about the etiology of the maxillary diastema, its diagnosis, and treatment. RESULTS: Although there was no agreement among the oral and maxillofacial surgeons for the timing of frenectomy and when the diastema should be closed, the pediatric dentists and orthodontists generally agreed that frenectomy should not be performed before the permanent canines are erupted and that the operation should follow orthodontic closure of the space. CONCLUSION: Although there was no complete consensus among the 3 groups, a logical treatment approach for the maxillary diastema is proposed.


Assuntos
Diastema/terapia , Odontólogos/estatística & dados numéricos , Diastema/etiologia , Diastema/cirurgia , Humanos , Maxila/cirurgia , Cirurgiões Bucomaxilofaciais/estatística & dados numéricos , Fechamento de Espaço Ortodôntico , Ortodontistas/estatística & dados numéricos , Odontopediatria/estatística & dados numéricos , Padrões de Prática Odontológica , Inquéritos e Questionários
12.
Oper Dent ; 43(1): 3-11, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29284106

RESUMO

Yttria-stabilized polycrystalline zirconia ceramics have greatly advanced over the past few years. High-translucent zirconia is a newly introduced ceramic that affords high strength and esthetics and that has significantly increased the clinical indications of monolithic zirconia restorations. Thus, the purpose of this case report was to evaluate the performance of ultrathin monolithic zirconia veneers adhesively luted to enamel surfaces after minimally invasive preparations; in addition, we aimed at presenting a clinical protocol for zirconia surface treatment in order to promote bonding effectiveness to resin cement. This type of restoration presented very acceptable esthetic results and decreased the risk of fracturing the veneer during try-in and clinical use. The results were still satisfactory after one-year follow-up. However, randomized, prospective, controlled clinical trials are required to determine the long-term clinical durability of this treatment.


Assuntos
Restauração Dentária Permanente/métodos , Facetas Dentárias , Diastema/terapia , Zircônio/uso terapêutico , Adulto , Estética Dentária , Feminino , Seguimentos , Humanos , Cimentos de Resina/uso terapêutico
13.
Dental Press J Orthod ; 23(6): 41.e1-41.e12, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30672992

RESUMO

CASE REPORT: young adult woman with esthetic complaints regarding her smile and frontal teeth aspect. At first glance, the problem seemed to be only the shape of the lateral upper incisors and a small diastema between the central incisors. The diagnosis shared between the orthodontist and the prosthetist led us to consider some other important aspects, such as the deep bite, the teeth inclination and the lips support. All these findings led us to consider that the right way to improve the esthetics of the patient's smile was to plan an orthodontic treatment. This would serve not only for the distribution of the spaces, but mostly it would improve all other problems, before the restoration of the upper lateral teeth with two ceramic veneers. RESULTS: the treatment plan achieved the right distribution of spaces for upper lateral incisors, significant correction of the incisors inclination with important reduction of overbite and better lip support, upper laterals restorations with ceramic feldspathic veneers, obtaining a good integration with natural teeth satisfying patient complaint. CONCLUSION: in cases which involve interdisciplinary approach, the fundamental step comes from the beginning, when only an initial diagnosis shared among the team of specialists can define the patient problems from different points of view. In this way, we can better understand the competency fields and plan the right treatment and time sequence.


Assuntos
Restauração Dentária Permanente/métodos , Diastema/terapia , Estética Dentária , Incisivo/anatomia & histologia , Má Oclusão de Angle Classe II/terapia , Ortodontia Corretiva/métodos , Planejamento de Assistência ao Paciente , Adulto , Cefalometria , Cerâmica , Modelos Dentários , Facetas Dentárias , Feminino , Seguimentos , Humanos , Incisivo/diagnóstico por imagem , Lábio , Má Oclusão de Angle Classe II/diagnóstico por imagem , Maxila , Aparelhos Ortodônticos Fixos , Satisfação do Paciente , Radiografia Panorâmica , Sorriso , Clareamento Dental
14.
Gen Dent ; 65(6): e13-e16, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29099376

RESUMO

Due to improvements in esthetic dentistry, the number of patients seeking to obtain a more harmonious smile has increased. A 40-year-old woman was referred for treatment because she was dissatisfied with the effect that diastemas and a conoid tooth had on her smile. Her maxillary anterior teeth were relatively short, resulting in a compromised esthetic relationship between height and width. Orthodontic treatment for better distribution of her teeth was recommended to the patient, but she refused, wanting faster and less expensive treatment. After diagnostic and waxed-up study casts were obtained, composite resin esthetic mock-ups were made to confirm that sufficient space was left for formation of the interdental papilla. After the patient approved the mock-ups, her anterior teeth were submitted to bleaching, definitive restoration, and additional occlusal adjustments. At the 1-year follow-up, the patient exhibited a harmonious, esthetic smile without black spaces or periodontal inflammation.


Assuntos
Papila Dentária , Restauração Dentária Permanente , Diastema/terapia , Estética Dentária , Anormalidades Dentárias/terapia , Adulto , Resinas Compostas , Feminino , Humanos , Sorriso , Clareamento Dental
15.
Indian J Dent Res ; 28(4): 461-464, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28836541

RESUMO

Midline diastema, which occurs as spacing between the upper central incisors, is a common occurrence seen in the pediatric population. In the ugly duckling stage of development; no treatment is generally advocated as the diastema is a transient one. When diastemas occur due to other pathologies, they pose several problems in relation to esthetics and speech in a growing child. With the advent of time, patient's demand for esthetics has greatly increased. Along with this, a less time-consuming treatment option is a favorite. Proper diagnosis of the diastema, unfolding its etiology, helps in devising an adequate treatment plan. This eventually will lead to stability of the final result. The present case report presents a different and unique approach for the esthetic closure of midline diastema following frenectomy procedure. The approach proves to be a quick and simple option for closure of midline diastemas in cases with concomitant incisal edge irregularities.


Assuntos
Diastema/prevenção & controle , Diastema/terapia , Adolescente , Terapia Combinada , Humanos , Terapia a Laser , Masculino , Equipe de Assistência ao Paciente , Recidiva
16.
Quintessence Int ; 48(7): 549-554, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28512651

RESUMO

Planning oral rehabilitation that involves an interdisciplinary approach is challenging, especially when it includes changes in the morphologic aspects of teeth and the architecture of gingival tissues. Patients commonly complain about the esthetics of maxillary anterior teeth, especially when diastemata are present. A guideline known as the golden proportion can be used to establish adequate width distribution of anterior teeth. Tooth proportion is also affected by incisogingival tooth length, hence gingival contouring should be evaluated as well. In these situations, the width-to-height ratio of 0.75:0.78 in the maxillary anterior teeth could be used to obtain wax-ups and a surgical guide, resulting in a more predictable esthetic outcome. Therefore, this clinical report describes a protocol for the planning of a periodontal-restorative approach with two wax-ups and a surgical guide using the golden proportion width-to-height ratio of 0.75:0.78 for the treatment of maxillary anterior teeth with diastemata using minimum thickness lithium disilicate veneers.


Assuntos
Facetas Dentárias , Diastema/terapia , Estética Dentária , Planejamento de Assistência ao Paciente , Periodontite/terapia , Humanos , Incisivo , Masculino , Maxila , Reprodutibilidade dos Testes , Adulto Jovem
18.
PróteseNews ; 4(2): 172-182, Abr-Jun. 2017. ilus
Artigo em Português | BBO - Odontologia | ID: biblio-859178

RESUMO

O sorriso está ligado diretamente à autoestima dos pacientes, e a busca por um tratamento dentário tem sido realizada cada vez mais por melhorias estéticas. Quando se percebe qualquer desvio da normalidade de um padrão estético, pode-se apresentar como consequências transtornos funcionais e sociais. O presente trabalho relatou um caso clínico de paciente com agenesia de incisivos laterais superiores e diastema interincisal. A proposta de tratamento, aceita de acordo com o anseio da paciente, foi a confecção de facetas indiretas em dissilicato de lítio, resultando em fechamento do diastema e reanatomização dos demais elementos dentários anteriores. O objetivo deste estudo foi apresentar as vantagens da utilização das facetas laminadas sem o preparo/desgaste da estrutura dental para o tratamento de agenesia de incisivos laterais superiores, através de um caso clínico.


The smile is directly connected with patient self-esteem and the demand for dental treatment as aesthetic improvement has been increased. When there is any deviation from normality of an aesthetic standard, it can be presented as consequences of functional and social disorders. In this paper, a clinical case of a patient with agenesis of upper lateral incisors and diastema between the central incisors is outlined. The proposed accepted treatment in accordance with the patient desire was the fabrication of indirect lithium disilicate veneers, resulting in diastema closure and reconfi guring of the remaining dental elements. The aim of this study is to present the advantages of laminate ceramics without preparation/abrasion of dental structure to treat the agenesis of upper lateral incisors.


Assuntos
Humanos , Feminino , Adulto , Anodontia/terapia , Cerâmica , Cimentos Dentários , Facetas Dentárias , Diastema/terapia , Estética Dentária
19.
Compend Contin Educ Dent ; 38(1): 38-42, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28054792

RESUMO

The concept of minimally invasive dentistry is based on preserving tooth structure, especially enamel. A conservative method to treat discolored teeth that have diastemas is a freehand additive technique using composite resin. While selecting the correct shade of resin can be challenging, newer composite resin formulations are being developed with optical properties that enable the material to more effectively blend into the dentition. This case report describes the use of conservative approaches and materials to treat discolored, unevenly spaced teeth and restore harmony and balance to a patient's smile.


Assuntos
Resinas Compostas/uso terapêutico , Diastema/terapia , Microabrasão do Esmalte , Clareamento Dental , Descoloração de Dente/terapia , Remineralização Dentária , Estética Dentária , Humanos , Masculino , Sorriso , Adulto Jovem
20.
Ned Tijdschr Tandheelkd ; 124(1): 23-25, 2017 Jan.
Artigo em Holandês | MEDLINE | ID: mdl-28067920

RESUMO

People with a disability also sometimes lose a (front) tooth. Their closest relatives in particular are concerned that the person they love appears to be 'ordinary, natural and well-cared for' and often consider a diastema to be unacceptable. At the same time, they do not want to expose these patients to a painful, taxing treatment for purely aesthetic reasons. Fibre re-enforced adhesive bridges offer a very good alternative in such cases.


Assuntos
Prótese Parcial Fixa , Diastema/terapia , Pessoas com Deficiência , Adulto , Feminino , Humanos
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