Naslov
Esthetic reconstruction of upper central incisor with direct composite veneer: a case report

Autori
Brumini, Martina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Acta stomatol Croat / Brkić, Hrvoje - Zagreb : Stomatolški fakultet Sveučilišta u Zagrebu ; Hrvatsko stomatološko društvo Hrvatskog liječničkog zbora, 2017, 368-368

Skup
Sinergija znanosti i kliničkog rada

Mjesto i datum
Zagreb, Hrvatska, 2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
esthetics ; permanent dental restoration ; dental veneers

Sažetak
Introduction: Esthetic reconstruction of upper central incisor is considered one of the greatest challenges in modern dental medicine. Case report: A patient (36) came to dental medicine studio unsatisfied with the appearance of the upper left central incisor. The patient reported endodontic treatment in 2006. Since then, the tooth was reconstructed using composite resins several times due to patient's dissatisfaction with esthetics. Clinical examination revealed multiple inadequate composite restorations. Marginal fractures and discolourations on the mesial, distal and incisal part and marginal overhang on cervical part of the labial surface were observed. The tooth was asymptomatic. Percussion and palpation tests were negative. Pre-operative examination of the occlusion was performed. Radiographic examination showed homogeneous root canal filling with acceptable filling length and no signs of pathology. Treatment options were explained and patient elected direct composite veneer. Previous composite restorations were removed. Preparation of the labial surface followed the contour of the gingival tissue and the margins were placed equigingivally. No incisal wrap was created. A direct restorative approach with free-hand bonding technique was performed. The cervical part was restored using A2 composite resins. The labial surface was reconstructed with additional A1 composite layers. The restoration was polished using finishing burs and discs in order to assure proper tooth morphology and good marginal adaptation. Conclusion: Appropriate preparation of the labial surface and layering technique, in addition to adequate colour selection and final polishing, assured longevity of the restoration and satisfied esthetic requirements of the patient. Reconstruction of an upper central incisor with direct composite veneer revealed as relatively quick and economical solution.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA