Álvarez RJ, Clavera VTJ, Mier SM

Language: Spanish
References: 14
Page: 787-794
PDF size: 93.82 Kb.

ABSTRACT

Introduction: the aesthetic restoration without metallic substratum in the anterior sector can be performed through direct method. It allows to reach a more natural aspect that the indirect restorations and to resist the occlusal loads in the same way, making possible not only to reconstruct teeth but to transform them, which makes ideal this procedure in the closing of widespread diastema those which are habitually resolved through secondary attention of prosthodontics or orthodontics, solutions of high cost and greater annoyance to the patient.
Objective: to describe the procedure of aesthetic restoration without metallic support through direct method with nanocomposite as therapeutic alternative for the closure of widespread diastema.
Case presentation: it is described the treatment imposed to a 53 year-old patient with antecedents of dental trauma with extraction of the 22 and complicated crown fractures in 12, 11 and 21 around 15 years ago, for which he received radical pulp-radicular treatments. The patient presented changes of severe coloration, besides the generalized diastema presence in the maxillary anterior sector, for which an integral restoration treatment through direct method was carried out by using a hybrid nanocomposite.
Conclusions: the cosmetic treatment with nanocomposite without metallic substratum is a viable therapeutic alternative in the closing of the generalized diastema through direct method, even in patients with severe traumatized, dyschromia teeth with a radical pulp-radicular treatment.

REFERENCES

1. Barrancos Mooney J, Barrancos P. Operatoria Dental. 3ra Ed. Buenos Aires: Editorial Médica Panamericana, S. A; 1999, p. 81-155.

2. Cuello-Salas JL, Pasquini-Comba M, Bazáez-Frete M, Oliva-Bazáez C. Carillas directas con resinas compuestas: una alternativa en operatoria dental. RCOE. 2003; 8(4).

3. Alonso-Ezpeleta O, Martín-González J, Martín-Jiménez M, Segura-Egea JJ. Endodontic treatment failure consecutive to unsystematic radiographic examination. Oral Health Dent Manag. 2013 Dec; 12(4):300-4.

4. Gutmann JL, Lovdahl PE. Problem solving in the management of tooth fractures and traumatic tooth injuries. En: Dolan J, Loher BS, editores. Problem solving in endodontics: Prevention, identification and management. Maryland Heights, Missouri: ELSEVIER-Mosby; 2011, p. 418-38.

5. Anusavice KJ, Chiayi S, Rawls HR. Phillip’s Science of Dental Materials. 11th Edición. St. Louis, Missouri: Saunders- Elsevier Inc.; 2013.

6. Bowen R, Rodríguez M. Tensile strength and modulus of elasticity of tooth structure and several restorative materials. J. Am Dent Assoc. 1962; 64:378.

7. Loguercio AD, Loeblein F, Cherobin T, Ogliari F, Piva E, Reis A. Effect of solvent removal on adhesive properties of simplified etch-and-rinse systems and on bond strengths to dry and wet dentin. J. Adhes Dent. 2009; 11(3):213-9.

8. Sakr OM, Almohaimeed M. Interference of preventive caries system with microshear bond strength of enamel surface bonded to etch & rinse or self etch adhesive system with nanofilled composite. Life Sci J. 2013;(1):10.

9. Chaple-Gil A. Técnica modificada de restauración de cavidades Clase II utilizando resinas compuestas. Rev haban cienc méd [revista en Internet]. 2015; 14(3):[aprox. 0 p.]. [Citado 2015 Jul 19]. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/497

10. Nujella BPS, Choudary MT, Reddy SP, Kumar MK, Gopal T. Comparison of shear bond strength of aesthetic restorative materials. Contemp Clin Dent. 2012; 3: 22-6.

11. Nayas González G, Montenegro del Castillo ME. Estomatología general integral. 1ra Ed. La Habana: ECIMED; 2013, p. 104-126.

12. Mier-Sanabria M, Álvarez-Rodríguez J, Montenegro-Ojeda Y. Restauración estética transquirúrgica de fractura complicada de corona y raíz en visita única. Rev haban cienc méd [revista en Internet]. 2015; 14(3): [aprox. 0 p.]. [Citado 2015 Jun 26]; Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/525

13. Hauman C, Love R. Biocompatibility of dental materials used in contemporary endodontic therapy. Part 1: Intracanal drugs and substances. Int Endod J. 2003; 36(2): 75-85.

14. Nazareno García R, Silvestri Silva C, Gochinski Silva G, Mocellin G, Ozelame J, Fracasso L, Bernhardt Ozelame M, Do Nascimento RF, Rocha Gomes AC. Bonding performance of a self-adhering flowable composite to indirect restorative materials. RSBO 2014; 116-12. [Citado 2014 Jul 15]; Disponible en: http://www.redalyc.org/articulo.oa?id=153029831002