Anterior Restorations in Bleached Teeth: Difficulty Establishing the Color after Bleaching

Abstract

It is becoming more common for patients to look for cosmetic procedures in dental offices. The search for lost or desired esthetics by patients is increasingly frequent and the professional must be able to meet this demand. To do this, dentists not only need to return the tooth back to its normal functioning state but also promote esthetic excellence. In this context, the association of cosmetic procedures, such as teeth whitening and restorative procedures, such as direct adhesive restorations is very common. The composite resins employed nowadays allow the reproduction of various optical properties of natural teeth. With these composite resins, it is possible to reproduce features such as translucency, opacity and specific features of the dental element, to bring back the esthetic harmony of the smile. This article reports a clinical case demonstrating the placement, in a stratified manner, of composite resins in bleached teeth, as well as the reproduction of optical and natural aspects of the teeth. In order to achieve esthetic and functional success of the restored procedure, it is important to be familiar with the new techniques and new materials in the market and above all, we must know when and where to use them.

Re-anatomization of Conoid and Deciduous Lateral Incisors with Direct Composite Resin

“…For this reason, it is extremely important that dental professionals are able to restore not only functionality, but also desirable esthetics. 29 The main treatment options for diastema closure derived from incisors with agenesis and/or shape anomaly are re-anatomization by direct restoration using composite resin and indirect ceramic or ceromer veneers. The development of adhesive materials has enabled the more conservative dentistry and improved esthetic results.…”

“…Current composite resins are available in many different colors, with differing intensities and degrees of luminosity, allowing mimic of optical characteristics of natural teeth asfluorescence,opalescenceandtranslucency,whichis extremely important when it comes to restorations in anterior teeth. 18,[29][30][31][32] The best treatment plan is the one that takes into conside ration the different socioeconomic realities of patients in association with dental materials and techniques available. Most of the materials used in cosmetic dentistry have high costs which are invariably transferred to the patient.…”

Functional and esthetics prosthetic rehabilitation in the elderly patient with metal ceramic crowns

“…[7,8,12,13,16,20,29] Rehabilitation treatments for patients with extensive defective aesthetic restorations, abnormality of shape, texture or color of the metal-ceramic crowns have been used on a large scale by dental professionals, presenting great long-term clinical success and many advantages provided by its excellent physical and optical properties from infrastructure of metal and ceramic. [5][6][7]14,16,18,19,22,27] For patients who commonly present unitary or total loss of teeth, treatment options include fixed partial dentures (PPF), adhesive resin restorations and individual implant restorations [4,5,11,21] Partially fixed implant-supported prostheses seem to have a good prognosis and are well accepted by patients [6,9,10,26] Another means of oral rehabilitation is the use of dental implants, where professionals come further expanding the use of this treatment modality. Its result is patient's satisfaction, which in turn, depends on a careful evaluation, a correct diagnosis, and an excellent and knowledgeable work staff.…”

“…[8,17,19,24,25] This research confirms the findings of similar studies; the porcelain-fused-to-metal and rehabilitation treatments with implant-supported prostheses in regions with a healthy periodontium result in a better long-term prognosis. [5,7,26] This type of treatment renders not only aesthetic and functional abilities of the patient, but also ensures a positive psychological effect. Therefore, it directly impacts the quality of patients' life.…”

“…Another important point is the obtainment of bilateral contacts, simultaneous posterior elements as well as lateral and anterior guides to protect the rehabilitation. [4,9,[24][25][26] Articulated study models and diagnostic wax can provide important information for the diagnosis and treatment evaluation. [5,11,17,22,27,28] Case Report A patient, 62 years old, appeared at the dental office complaining about the absence of the elements 35, 36, 44 and 45, in which the patient was previously operated with the insertion of bone grafts without immediate loading.…”