Cargando…

Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach

Tooth wear is defined as the progressive loss of a tooth’s surface due to actions other than those which cause tooth decay or dental trauma. It is a pathological condition with an increasing prevalence among young people. The aim of this article is to describe an alternative treatment modality to re...

Descripción completa

Detalles Bibliográficos
Autores principales: Faus-Matoses, Vicente, Faus-Matoses, Ignacio, Jorques-Zafrilla, Ana, Faus-Llácer, Vicente J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741854/
https://www.ncbi.nlm.nih.gov/pubmed/29302293
http://dx.doi.org/10.4317/jced.54358
_version_ 1783288265821913088
author Faus-Matoses, Vicente
Faus-Matoses, Ignacio
Jorques-Zafrilla, Ana
Faus-Llácer, Vicente J.
author_facet Faus-Matoses, Vicente
Faus-Matoses, Ignacio
Jorques-Zafrilla, Ana
Faus-Llácer, Vicente J.
author_sort Faus-Matoses, Vicente
collection PubMed
description Tooth wear is defined as the progressive loss of a tooth’s surface due to actions other than those which cause tooth decay or dental trauma. It is a pathological condition with an increasing prevalence among young people. The aim of this article is to describe an alternative treatment modality to rehabilitate the anterior guidance by a minimally invasive interdisciplinary ortho-restorative treatment. Two patients came to the dental clinic for restorative treatment in order to rehabilitate the worn anterior dentition. Clinical analysis showed tooth surface loss located at the incisal edges by attrition due to an inadequate anterior guidance. In both cases the occlusal vertical dimension was reduced. First, following Dahl’s principle, resin attachments were placed in the upper canines. These attachments allowed the extrusion of posterior teeth in order to increase the occlusal vertical dimension. Furthermore, anterior teeth were intruded in order to create space for the restorative material. In the second phase, the restorative treatment was completed. Due to the characteristics of the case, feldspathic ceramic veneers were indicated. A diagnostic wax-up was performed to assist the treatment planning and a mock-up was prepared. Then, maxillary incisors were prepared through the mock-up to ensure a minimally invasive technique. Afterwards, silicone impressions were taken. Finally, veneers were cemented with a light-cured cement. In the present case, the functional and aesthetic parameters required by the patients were achieved, thus satisfying their needs. Key words:Tooth wear, anterior guidance, feldspathic veneers, Dahl’s principle, minimally invasive.
format Online
Article
Text
id pubmed-5741854
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medicina Oral S.L.
record_format MEDLINE/PubMed
spelling pubmed-57418542018-01-04 Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach Faus-Matoses, Vicente Faus-Matoses, Ignacio Jorques-Zafrilla, Ana Faus-Llácer, Vicente J. J Clin Exp Dent Case Report Tooth wear is defined as the progressive loss of a tooth’s surface due to actions other than those which cause tooth decay or dental trauma. It is a pathological condition with an increasing prevalence among young people. The aim of this article is to describe an alternative treatment modality to rehabilitate the anterior guidance by a minimally invasive interdisciplinary ortho-restorative treatment. Two patients came to the dental clinic for restorative treatment in order to rehabilitate the worn anterior dentition. Clinical analysis showed tooth surface loss located at the incisal edges by attrition due to an inadequate anterior guidance. In both cases the occlusal vertical dimension was reduced. First, following Dahl’s principle, resin attachments were placed in the upper canines. These attachments allowed the extrusion of posterior teeth in order to increase the occlusal vertical dimension. Furthermore, anterior teeth were intruded in order to create space for the restorative material. In the second phase, the restorative treatment was completed. Due to the characteristics of the case, feldspathic ceramic veneers were indicated. A diagnostic wax-up was performed to assist the treatment planning and a mock-up was prepared. Then, maxillary incisors were prepared through the mock-up to ensure a minimally invasive technique. Afterwards, silicone impressions were taken. Finally, veneers were cemented with a light-cured cement. In the present case, the functional and aesthetic parameters required by the patients were achieved, thus satisfying their needs. Key words:Tooth wear, anterior guidance, feldspathic veneers, Dahl’s principle, minimally invasive. Medicina Oral S.L. 2017-11-01 /pmc/articles/PMC5741854/ /pubmed/29302293 http://dx.doi.org/10.4317/jced.54358 Text en Copyright: © 2017 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Faus-Matoses, Vicente
Faus-Matoses, Ignacio
Jorques-Zafrilla, Ana
Faus-Llácer, Vicente J.
Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach
title Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach
title_full Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach
title_fullStr Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach
title_full_unstemmed Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach
title_short Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach
title_sort orthodontics and veneers to restore the anterior guidance. a minimally invasive approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741854/
https://www.ncbi.nlm.nih.gov/pubmed/29302293
http://dx.doi.org/10.4317/jced.54358
work_keys_str_mv AT fausmatosesvicente orthodonticsandveneerstorestoretheanteriorguidanceaminimallyinvasiveapproach
AT fausmatosesignacio orthodonticsandveneerstorestoretheanteriorguidanceaminimallyinvasiveapproach
AT jorqueszafrillaana orthodonticsandveneerstorestoretheanteriorguidanceaminimallyinvasiveapproach
AT fausllacervicentej orthodonticsandveneerstorestoretheanteriorguidanceaminimallyinvasiveapproach