Objectives\u00a0 <\/b>Aim of this paper was to bring the attention to the feasibility of using unconventional and customized dental treatment helped by com\u00adposite materials for direct resto\u00adrations.<\/p>\n
In this particular case a multidisciplinary dental approach was taken to restore the upper dental arch of a young female with high esthetical demand, specifi\u00adcally an orthodontic nontraditional procedure was carried out to avoid traditional orthodontic appli\u00adance before to restorations.<\/p>\n
Materials and methods\u00a0 <\/b>A 25 years old patient came to our attention \u2013 at the Section of Den\u00adtistry and Maxillofacial Surgery of University of Verona \u2013 asking for the alignment of the upper central incisors and closure of the diaste\u00admas present between all the ante\u00adrior teeth of the upper arch. An al\u00adginate dental impression of both arches was taken and the intra\u00adoral and extraoral photographs re\u00adquired for planning the clinical case were captured. Esthetical parameters and occlusal relation\u00adship were registered.<\/p>\n
All records were evaluated and a treatment plan was developed in agreement with functional and esthetical pa\u00adrameters, thereafter the treatment plan was submitted to patient in order to obtain her approval. With her informed written consent, the treatment began. Misalignment of upper central incisors was solved by using two palatal buttons posi\u00adtioned on elements 1.1 and 2.1 and applying a rotational force by means of metallic ligatures acti\u00advated weekly for three months. Af\u00adter orthodontics, a diagnostic wax-up was made to better un\u00adderstand proportion and reshap\u00ading of restorations.<\/p>\n
A digital previ\u00adsualization of final result was therefore performed using Key\u00adnote software (iWork, Apple, Cu\u00adpertino, California, USA) in order to face the esthetical requirements of our young patient. Moreover a silicon index was built, based on diagnostic wax-up, to help the di\u00adrect restoration phase performed using Ceram.x composite resin (Ceram.x duo, Dentsply Sirona, Konstanz, Germany), as a result all the diastemas were closed and reshaping of elements from first left premolar to first right premolar was performed.<\/p>\n
Results and conclusions\u00a0 <\/b>The patient was immediately pleased with the final result both from esthetic and functional point of view. She reported to be satis\u00adfied that it was possible to avoid the traditional orthodontic treat\u00adment and the removal of natural dental tissue. With this in mind it could be advisable to remind that new composite resins, thanks to their high esthetical performanc\u00ades, allow to respect biological tis\u00adsues and to perform mimetic changes of smile.<\/p>\n
With this per\u00adspective, a clinician could manage each case with a wider approach including different disciplines in order to guarantee the best re\u00adsults to his patients, also in chal\u00adlenging situations. In this particu\u00adlar case it was possible to restore the upper arch in a young girl avoiding all invasive and nonre\u00adversible procedures.<\/p>\n
Clinical significance\u00a0 <\/b>This clinical case aimed to bring to the attention the possibility to achieve high-standards oral reha\u00adbilitations in patients with high es\u00adthetical and functional require\u00adments. This could be possible avoiding invasive procedures, dental tissue removal and pros\u00adthetic definitive rehabilitations.<\/p>\n
Moreover, this case could be of in\u00adterest because highlights the fea\u00adsibility to use orthodontics in a nonconventional and individual\u00adized way, especially when the pa\u00adtient does not cooperate and does not accept the traditional treat\u00adment.<\/p>\n
Furthermore, the economic cost of a short-term orthodontic procedure and of direct composite resin restorations make more ap\u00adpealing the treatment proposed.<\/p>\n
Per continuare la lettura gli abbonati possono scaricare l’allegato.<\/i><\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"