Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report

Abstract

Gingival recession causes not only aesthetic problems, but problems with oral hygiene, plaque accumulation, speech, and tooth sensitivity. Replacing the missing gingival tissue with composite resin, when indicated, can be a time- and cost-effective solution. Here we report the case of a 25-year-old female who presented with generalized gingival recession. Black triangles were present between the maxillary and mandibular anterior teeth due to loss of interdental tissues, caused by recent periodontal surgery. She also had slightly malposed maxillary anterior teeth. The patient elected to replace gingival tissue with pink composite resin and to alter the midline with composite resin veneers. The first treatment phase involved placement of pink gingival composite to restore the appearance of interdental papilla to her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) and lower (34, 33, 32, 31, 41, 42, 43, and 44) teeth. Phase two was to place direct composite resin bonded veneers on her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) teeth to alter the midline and achieve desired colour. The third treatment phase was to level the lower incisal edge shape by enameloplasty (31, 32, 41, and 42) to produce a more youthful and attractive smile. This case report and brief review attempt to describe the clinical obstacles and the current treatment options along with a suggested protocol. Use of contemporary materials such as gingival coloured composite to restore lost gingival tissue and improve aesthetics can be a simple and cost-effective way to manage patients affected by generalized aggressive periodontitis (AgP).

Palatal pedicle graft for management of a severe case of black triangle: A case report

“…Hence we used a combined approach which involved the use of surgery & synthetic materials. Relocation of the contact point helped in enhancing the surgical outcome resulting in signifi cant improvement in the tissue architecture leading to a biologically sound and aesthetically pleasant presentation [11,12]. Patient motivation is also an important aspect of success of therapy.…”

Exploring the versatility of gingiva-colored composite

“…Interdisciplinary approaches are often required for restoration of esthetics and function of the periodontal supporting structures lost due to periodontal disease. 23 …”

“…Prosthetic approaches to reproduction of artificial gingival tissue include porcelain, acrylics (denture base material), silicone-based soft materials, or co-polyamide and composite resin, 23 each with its associated merits, demerits, and specific indications. For example, a removable prosthesis can facilitate a larger volume of tissue replacement without disturbing other dental units while allowing proper cleaning, whereas for fixed restoration of soft tissue in the esthetic zone, gingiva-colored (pink) porcelain can help in re-creating natural tooth proportions and provide a realistic alternative to surgery.…”

“…For example, a removable prosthesis can facilitate a larger volume of tissue replacement without disturbing other dental units while allowing proper cleaning, whereas for fixed restoration of soft tissue in the esthetic zone, gingiva-colored (pink) porcelain can help in re-creating natural tooth proportions and provide a realistic alternative to surgery. 23 …”

Alargamiento de corona realizado con carillas de composite directas para corregir la desproporción de prótesis parcial metal-porcelana

“…9) Vol. 2, No 7, julio, 2017, pp.130-143, ISSN: 2550 -682X sobrecontorno de la misma, interfiriendo seriamente con las dimensiones normales de las piezas(Batista, Santos, & Bonfante, 1998).Para pacientes que presenten problemas estéticos y/o funcionales, las resinas compuestas son una alternativa con un costo y tiempo relativamente bajos(Wahbi, Al Sharief, Tayeb, & Bokhari, 2012).En los últimos años ha surgido la técnica directa de carillas de resina compuesta. Estas pueden ser colocadas directamente sobre el diente preparado(Korkut, Yanikoglu, & Gunday, 2013).…”