engleski

MINIMALLY INVASIVE AESTHETIC AND FUNCTIONAL REHABILITATION IN PATIENTS AFFECTED BY DENTAL EROSION

Aim: Dental erosion is a constantly growing phenomenon, increasingly common in younger people. This pathology can lead to serious aesthetic and functional consequences. The restorative surgery, in a patient with teeth erosion, should be based on a minimally invasive procedure, even in cases of extensive loss of dental tissue, avoiding therefore excessive removal of healthy dental tissue. Materials and Methods: A further case study describes an approach which protects the occlusion (the back teeth protect the front ones from excessive contact in their maximum intercussion, while the front teeth separate the back during eccentric movements). We have improved the aesthetics with a multidisciplinary periodontal prosthetic approach, because of the asymmetric gingival edges and small front teeth. „Digital smile design” is used as a diagnostic tool for the estimate of the size, shape and position of the teeth as well as the contours of the gingiva. The visualization of the final outcome of the treatment before the first treatment session, encourages and helps the patient to undertake much more demanding procedures. The case study of a young patient who complained of the appearance of her worn front teeth and higher sensitivity of her back teeth , whose condition worsened year by year, was clinically elaborated. Results: The extensively worn teeth were replaced by a combination of a dental crown lengthening procedure, aesthetic veneers and full zirconium crowns. Temporary replacements were set up in the oral cavity as a stable, aesthetic and functional frontal guiding before cementing the permanent crowns. Conclusion: The achieved natural smile fits into the face composition. A dinstincion is noted in the length of the upper dental arch, as well shape and color changes ; health, function and aesthetics are improved.

dental erosion, minimally invasive rehabilitation

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