Ortiz-Ruiz S, Pérez-Banuet SE, Caballero-Pérez A, Marín-Espinoza A, Correia MVAD

Language: Spanish
References: 17
Page: 186-190
PDF size: 318.89 Kb.

ABSTRACT

Esthetics has become a very important part of dentistry today. However, we should not superimpose esthetic needs over functional needs. The loss of tooth structure associated with bruxism can be considered pathologic when it compromises the anterior guidance, which is the influence on mandibular movements that provides the contacting surfaces of the maxillary anterior teeth with the mandibular anterior teeth and avoids damaging eccentric contacts in the posterior teeth. The aim of this case report is to present a conservative way to restore both esthetics and function in a 34-year-old patient who came to the Prosthodontics Clinic of the Universidad Autónoma de Guadalajara in search of an esthetic appearance of her anterior teeth. After her initial evaluation, a diagnosis of anterior guide loss due to pathological wear associated with bruxism was made. Treatment included root canal treatment, removal of caries, and ill-fitting restorations, crowns, and veneers to reestablish the anterior guidance. The aesthetic expectations of the patient have met as well as the functional needs that were aimed from the beginning, achieving a conservative reestablishment of the anterior guidance system.

REFERENCES

1. Johansson A, Omar R, Carlsson GE. Bruxism and prosthetic treatment: a critical review. J Prosthodont Res. 2011; 55 (3): 127-136.

2. The glossary of prosthodontic terms: ninth edition. J Prosthet Dent. 2017; 117 (5S): e1-e105.

3. Reddy SV, Kumar MP, Sravanthi D, Mohsin AH, Anuhya V. Bruxism: a literature review. J Int Oral Health. 2014; 6 (6): 105-109.

4. Pontons-Melo JC, Pizzatto E, Furuse AY, Mondelli J. A conservative approach for restoring anterior guidance: a case report. J Esthet Restor Dent. 2012; 24 (3): 171-182.

5. Lee RL. Advances in occlusion: anterior guidance. Boston Bristol London: PSG Inc.; 1982. pp. 52-79.

6. Stallard H, Stuart C. Concepts of occlusion. Dent Clin North Am. 1963; 7: 591-606.

7. D'amico A. the canine teeth: normal functional relation of the natural teeth of man. American Dental. 1958; 26 (1): 6-23.

8. Schuyler CH. The function and importance of incisal guidance in oral rehabilitation. 1963. J Prosthet Dent. 2001; 86 (3): 219-232.

9. Culp L, McLaren EA. Lithium disilicate: the restorative material of multiple options. Compend Contin Educ Dent. 2010; 31 (9): 716-20, 722, 724-725.

10. McLean A. Criteria for the predictably restorable endodontically treated tooth. J Can Dent Assoc. 1998; 64 (9): 652-656.

11. Fradeani M, Redemagni M, Corrado M. Porcelain laminate veneers: 6- to 12-year clinical evaluation--a retrospective study. Int J Periodontics Restorative Dent. 2005; 25 (1): 9-17.

12. Castelnuovo J, Tjan AH, Phillips K, Nicholls JI, Kois JC. Fracture load and mode of failure of ceramic veneers with different preparations. J Prosthet Dent. 2000; 83 (2): 171-180.

13. Ferrari M, Patroni S, Balleri P. Measurement of enamel thickness in relation to reduction for etched laminate veneers. Int J Periodontics Restorative Dent. 1992; 12 (5): 407-413.

14. Rouse JS. Full veneer versus traditional veneer preparation: a discussion of interproximal extension. J Prosthet Dent. 1997; 78 (6): 545-549.

15. Bottino M, Faria R, Valandro L. Estética en prótesis libres de metal en dientes naturales e implantes. Sao Paulo: Artes medicas; 2009.

16. Atay A, Palazli Z, Gurdal I, Usumez A. Color change of different dual-cure resin cements after thermocycling. Odovtos. 2019; 21 (2): 53-62.

17. Antonelli J, Hottel TL, Siegel SC, Brandt R, Silva G. The occlusal guard: a simplified technique for fabrication and equilibration. Gen Dent. 2013; 61 (3): 49-54.