Case Report


A conservative aesthetic rehabilitation on pigmented anterior teeth: Three years follow-up

,  ,  ,  ,  ,  

1 Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Campinas, SP, Brazil

2 Professor, Department of Restorative Dentistry, University of Santo Amaro, São Paulo, SP, Brazil

3 Master Student, Department of Biological Sciences, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil

4 PhD, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Campinas, SP, Brazil

5 Full Professor, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Campinas, SP, Brazil

Address correspondence to:

João Victor Frazão Câmara

Alameda Doutor Octávio Pinheiro Brisolla, 6-65, CEP 17012-059, Bauru, São Paulo,

Brazil

Message to Corresponding Author


Article ID: 101153Z01EA2020

doi: 10.5348/101153Z01EA2020CR

Access full text article on other devices

Access PDF of article on other devices

How to cite this article

de Andrade CL, Angelo E, Pierote JJA, Câmara JVF, Barbosa IF, Paullilo LAMS. A conservative aesthetic rehabilitation on pigmented anterior teeth: Three years follow-up. Int J Case Rep Images 2020;11:101153Z01EA2020.

ABSTRACT


Introduction: Aesthetic dentistry values the alignment of teeth and harmonization of the smile, and several techniques can be applied to close diastemas. Here, we presented an aesthetic approach to restore the smile balance with porcelain veneers.

Case Report: A 46-year-old female patient sought dental treatment complaining of dental clenching and smile appearance. Pigmented anterior teeth and fractured indirect restoration were observed. Tooth bleaching was performed with 35% hydrogen peroxide and the impression of the jaw was obtained to perform the diagnostic waxing and a surgical guide in silicone. The guide was inserted and the gingival margin recorded with a scalpel. A mucoperiosteal flap was performed and the gingival collar extracted. For osteotomy, the distance between the edge guide and the cervical bone was measured with surgical chisels and carbide/diamond drills. From the dental mold, silicone impressions for use in the mock-up and in the making of the temporary restoration were made. The cementation protocol for the facets was carried out with hydrofluoric acid for 30 seconds.

Conclusion: The present protocol proved to be effective when correctly indicated and executed, rehabilitating the patient’s aesthetics and function.

Keywords: Dental, Dental porcelain, Esthetics, Esthetic rehabilitation

SUPPORTING INFORMATION


Author Contributions

Enrico Angelo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Josué Junior Araújo Pierote - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Lucia Trazzi Prieto - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

João Victor Frazão Câmara - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published

Isabel Ferreira Barbosa - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Luis Alexandre Maffei Sartini Paullilo - Substantial contributions to conception and design, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Enrico Angelo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.