The literature reports several materials for the restoration of endodontically treated teeth, with coronal destruction that requires an intra-root fiber post to stabilize the prosthetic part. The intra-radicular post of composite resin reinforced with fiberglass can be used as retainers in rehabilitating endodontically treated teeth due to their adhesiveness, pleasing aesthetics, and elasticity module close to the dentin less wear on the remaining structure. This clinical case reports the step-by-step application of dual resin cement (Rebilda DC Dentine - Voco) used as the cementation material of the post and material for the filling core in a single step, in an upper right lateral incisor. Moreover, it describes the advantages and indications of the post-and-core technique, also called “monobloc” which can be used in both anterior and posterior teeth. This protocol minimizes the adhesive interfaces, the chair time, and the steps of the clinical procedure.
The purpose of this scoping review was to present the published successful techniques and strategies for biomimetic remineralization of human dentin. Studies whose primary objective was to present the strategy of successful dentin biomimetic remineralization were included. No language, participant age, or time restrictions were set. Stud-ies were retrieved via CENTRAL, LILACS, PubMed/MEDLINE, SciELO, SCOPUS and Web of Science. Gray literature searches on Google Scholar and OpenGrey were also conducted to find additional references. Based on the main research objectives, articles were classified by technique according to the methodology used for the research. One hundred forty-five articles, published be-tween 2003 and 2019, were included in the final scoping review. Protocols that imitate dentin's natural mineralization seek to restore lost minerals in dental tissues. Biomimetic remineralization proposes different ways to replace demineralized collagen in dentin by using inorganic materials like natural minerals, with the primary purpose of optimizing the clinical longevity of restorations and improving dental treatment.
Dental trauma injuries occur more frequently in upper anterior teeth, especially in enamel and dentin without pulp involvement. This article presents a clinical case report of a patient dissatisfied with the color of the tooth 21 restoration performed after suffering dental trauma. The format was adequate, so a previous molding of the palatal region was performed, and a condensing silicone guide was made. The use of the palatal guide facilitates the execution of the restoration and guides the layering of selected resins. Following the Natural Stratification concept, this case demonstrated a restorative treatment of direct restorations in composite resin, which can be considered an alternative for fractured anterior teeth, presenting clinical agility and excellent esthetic results.
Single crown rehabilitation cases in anterior teeth represent a considerable challenge, not only for dentists but also for prosthesis laboratories. This case report aims to present a treatment option for a patient whose chief complaint was mobility on tooth #21, as the intraradicular metallic core was loose. In which it was decided to reuse the existing metalceramic crown, considering the excellent aesthetics and adaptation. A fiberglass post with a composite anatomical core was done to re-establish the structure of an upper central incisor in a less costly manner and without the need for laboratory steps.
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