The overall risk of immediate postoperative sensitivity was 20.3% and was not affected by either the adhesive strategy (etch-and-rinse/self-etch) or the filling technique (incremental/ bulk).
Objective
To describe the use of the injectable resin composite restorative technique with a flowable resin material, in a clinical case with esthetic problems associated with irregular tooth anatomies, allied with a finishing, and polishing protocol due to staining after 1 year of use.
Clinical Considerations
The presented case report helped to achieve an immediate highly esthetic restoration with appropriate width proportions based on a previous wax‐up. After 1 year of use, restorations presented staining; therefore, finishing and polishing procedures were required to re‐achieve acceptable esthetic results and thus increase restoration's survival.
Conclusions
The use of the presented technique allowed to obtain a simple and predictable workflow; however, care must be taken on the follow up of the restorations due to intrinsic characteristics of the flowable resin material.
Clinical Significance
The use of the presented injectable technique helped on obtaining a precise anatomy replicating a diagnostic wax‐up, thus improving marginal precision and achieving a highly esthetic and functional immediate outcome, with an easy workflow when appropriately planned and executed. However, it also presented low color stability after 1 year of use only, thus, requiring attention from clinicians in regard to its maintenance over time.
Achieving aesthetic and functional result is a major challenge in oral rehabilitation, as the constant search for a harmonic smile raises patients level of demand and expectation. Restoring anterior teeth with aesthetics and predictability is one of the greatest challenges in contemporary dentistry and to know how to select the most suitable ceramic system and to have knowledge, controlling the variables at the time of adhesive cementation such as treatment of dental substrate surfaces and ceramic restoration will define the longevity and success of the restorative treatment. Therefore, the present article describes a rehabilitation with ceramic restorations on upper anterior teeth, seeking smile harmonization. It was emphasized clinical applicability in face of aesthetic challenge for different substrates, how to achieve predictable results with ceramic laminates associated with the lithium disilicate crown, and a crown with zirconia coping and laminate on it to mask the implant. This material presents excellent reproduction of dental structure optical properties in addition to high fracture resistance. A very pleasant aesthetic result was achieved, and also aesthetic harmonization of the rehabilitated teeth, restoring not only the aesthetic and saturation of the substrate, but promoting patient well-being associated with masticatory function and longevity for this clinical situation.
As restaurações de dentes posteriores pela técnica incremental geralmente tomam mais tempo do cirurgião- -dentista. Além de existir a possibilidade de ocorrência de bolhas entre as camadas, é necessária uma boa execução das cristas, cúspides, sulcos, fóssulas e fissuras para que a anatomia não seja removida na fase de ajuste oclusal. O objetivo deste artigo foi apresentar uma alternativa clínica, para agilizar e otimizar a restauração de dentes posteriores, através de um relato de caso de uma paciente com lesões de cárie dental em 3 dentes adjacentes. Como estes apresentavam a anatomia oclusal majoritariamente intacta, foi realizada uma cópia prévia da face oclusal e confeccionado um carimbo oclusal de cada elemento, técnica conhecida como “Stamp Technique”. O uso da técnica do carimbo oclusal associada à utilização de resina bulk-fill termoviscosa como material restaurador facilita a obtenção da anatomia pré-existente, reduz o tempo de trabalho clínico, além de agilizar a etapa de ajuste oclusal. É um procedimento customizado, barato e fácil para reconstrução anatomia de maneira fidedigna. Este relato de caso demonstra uma alternativa para tratamento restaurador de dentes posteriores, utilizando resina bulk-fill e técnica do carimbo oclusal para restauração de 3 elementos posteriores oferecendo agilidade clínica e excelente resultado funcional e estético.
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