scholarly journals COMPOSITE BUILD-UP-CONSERVATIVE RESTORATION FOR A PERFECT SMILE.

2020 ◽  
Author(s):  
Rahul Koppaka
Keyword(s):  
Resin Composite ◽  
Radiographic Evaluation ◽  
Success Rates ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Size Discrepancy ◽  
Tooth Form ◽  
Crown Preparation ◽  
Conservative Restoration

BRIEF BACKGROUND The personality of a person is greatly influenced by their smile. Imperfections in the appearance of anterior teeth can reduce a person’s confidence and aesthetics. This case report represents the rehabilitation of a patient with severe tooth deformation in the upper and lower anterior teeth region. The tooth structure was not enough to support porcelain crowns, so Resin Composite was used to build up the tooth and it was supported using a periodontal splint. MATERIALS AND METHODS Clinical examination and radiographic evaluation showed a tooth form-size discrepancy. Due to the lack of tooth structure available for crown preparation, Resin Composite material was used to build up the tooth structure. everStick by GC was used as a periodontal splint to support the structure. DISCUSSION Resin Composite is one of the most conservative and aesthetic techniques available for restoring tooth structure. The different hues and shades available help it to provide a seemingly natural looking restoration. This helps in rehabilitation of a decrepit smile. Long term studies showed high success rates. Failure was seen in patients with paranormal muscle activity like bruxism and in bonding on pre-existing composite restorations. Marginal discolouration was seen in patients with tobacco habits (smoking and smokeless forms). SUMMARY AND CONCLUSION Composite build-up of teeth is a viable option for restoring tooth structure when the case demands aesthetic needs in both young and adult patients. The amount of tooth structure conserved is also much greater than with porcelain crowns. Cost of treatment is also significantly lower. KEY WORDS Composite, Aesthetics, Smile, Conservative treatment, everStick by GC.

scholarly journals Conservative Restoration of Worn Mandibular Anterior Teeth Combining Gingival Repositioning and a Template Matricing Technique

2015 ◽  
Vol 40 (5) ◽  
pp. 462-469
Author(s):  
HA St Germain ◽  
JF Jenkins
Keyword(s):  
Resin Composite ◽  
Gingival Tissue ◽  
Medium Term ◽  
Crown Height ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Occlusal Vertical Dimension ◽  
Conservative Restoration ◽  
Crown Lengthening ◽  
Composite Restoration

SUMMARY Conservative resin composite restoration of worn mandibular anterior teeth may offer an alternative option to full-coverage restorations for the patient. Assessment of the occlusal condition is critical because alterations in occlusal vertical dimension may not always be possible. By exposing additional coronal tooth structure, periodontal crown-lengthening procedures can serve to increase clinical crown height when adequate attached gingival tissue is present and supra-eruption has likely occurred. Fabrication of a custom template made from a diagnostic mock-up with proximal stainless steel matrices helps contribute to a predictable restorative result and improves chairside efficiency for the dental practice. By combining gingival crown lengthening, bonding of resin composite material, and selective occlusal adjustment; a short to medium-term, conservative option can be made available for the patient.

scholarly journals Comparing Zirconia to Anterior Strip Crowns in Primary Anterior Teeth in children, A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A AbdelBaki ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background: Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. This study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods: Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). The presented research was registered retrospectively at ClinicalTrials.gov in 6th of August 2017, under registration number NCT03184012.Results: Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p<0.006, p<0.001; respectively), less plaque accumulation at all follow up visits (p<0.001), no restoration failure (p<0.001), but more wear to opposing teeth (p<0.02). No significant difference was found between the two crowns with regards to recurrent caries (p<0.135).Conclusion: Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.

scholarly journals Anterior teeth rehabilitation with direct resin composite veneer using multiple layering technique: A case report

2021 ◽  
Vol 2 (1) ◽  
pp. 56-61
Author(s):  
Muhammad Nur Izham Khairuddin ◽  
Pengiran Muhammad Badi'uzzaman Awang Iskanderdzulkarnein ◽  
Mohd Haikal Mohd Halil
Keyword(s):  
Case Report ◽  
Resin Composite ◽  
Tooth Structure ◽  
Aesthetic Result ◽  
Anterior Teeth ◽  
Direct Technique ◽  
Multiple Visit ◽  
Cost Treatment ◽  
Tooth Preparation ◽  
Indirect Technique

Cosmetic veneer has become a popular option for patients seeking to improve aesthetic in their smile. The procedure can be done through a direct or indirect technique which differs in term of material used and laboratory involvement. Despite producing a better aesthetic result than its direct technique counterpart, high-cost treatment, multiple visit requirement and invasive nature of tooth preparation are proven to be a stumbling block to the patient in some cases to choose indirect technique. Therefore, direct composite veneer technique can be offered due to its low costing and conservative concept which advocates more tooth structure preservation. This case report is about direct composite veneer for anterior teeth rehabilitation and its simple and conservative protocol.

scholarly journals Clinical and Radiographic Evaluation of Compomer and Composite used for Restoring Primary Teeth

2019 ◽  
Vol 26 (1) ◽  
pp. 37-49
Author(s):  
Omar A. El Meligy ◽  
Amani A. Al Tuwirqi
Keyword(s):  
Primary Teeth ◽  
Resin Composite ◽  
Class Ii ◽  
Class I ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Tooth Structure ◽  
Patients Âgés ◽  
Group I ◽  
One Year

This study assessed different restorative materials in primary teeth over a one-year period. Sixty carious primary molars were selected from 30 patients; ages 5-10 years. Class I and II cavities were divided into four groups: Group I: 15 Class I cavities were restored with a compomer, Group II: 15 Class I cavities were restored with a resin composite, Group III: 15 Class II cavities were restored with a compomer and Group IV: 15 Class II cavities were restored with a resin composite. Each child had two teeth restored, one with compomer and the other with composite resin as control. Direct clinical and radiographic evaluations were performed by one examiner after 24 hours, 6- and 12-months. Indirect clinical evaluations were performed using a Scanning Electron Microscope after 24 hours and 12-months periodically. Clinical and radiographic evaluations revealed no significant differences between the compomer and resin composite at 6- and 12-months. Indirect clinical evaluation showed good marginal interfaces between the restorations and the tooth structure throughout the evaluation periods. Both materials presented significant clinical and radiographic performances in Class I and II restorations of primary molars after one year.

Clinical and Radiographic Outcomes Of Pulpotomized Primary Molars Treated with White or Gray Mineral Trioxide Aggregate And Ferric Sulfate -Long Term Follow-Up

2012 ◽  
Vol 37 (2) ◽  
pp. 137-141 ◽  
Author(s):  
G Frenkel ◽  
A Kaufman ◽  
M Ashkenazi
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Cost Effective ◽  
Ferric Sulfate ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Success Rates ◽  
Radiographic Outcomes ◽  
Cost Effective Treatment ◽  
Multiple Treatments

Aim: To compare the long term clinical and radiographic outcomes of pulpotomies in primary molars per-formed with white or gray Mineral Trioxide Aggregate (MTA) in combination with ferric sulfate (FS), when one package of MTA is used for multiple treatments. Design: Sixty eight children with 86 vital carious primary molars underwent pulpotomy with FS, and grey or white MTA. One package of MTA was used for 7-8 treatments. Clinical and radiographic evaluation was performed before and 6 to 47 months after treatment. Results: Success rates were similar for pulpotomies performed with white (60-teeth) and grey MTA (16 teeth) (p&gt;0.05), and for those performed with the addition of FS to white or gray MTA when one package of MTA was used for multiple pulpotomies compared to one package of MTA alone. Conclusion: Gray and white MTA in conjunction with FS induce comparable clinical and radiographic success rate. The use of one package of MTA for multiple pulpotomies, combined with FS, is a cost-effective treatment.

scholarly journals Molar incisor hypomineralization: an aesthetic conservative restorative approach

2016 ◽  
Vol 64 (2) ◽  
pp. 186-192
Author(s):  
Manoelito Ferreira SILVA-JUNIOR ◽  
Rahyza Inácio Freire de ASSIS ◽  
Flávia Bittencourt PAZINATTO
Keyword(s):  
Color Change ◽  
Resin Composite ◽  
Well Being ◽  
Psychological State ◽  
Tooth Structure ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Low Degree ◽  
Molar Incisor Hypomineralization ◽  
And Function

ABSTRACT The aim this study is to present a clinical case of conservative aesthetic restorative treatment of teeth 11 and 21 in a patient diagnosed with molar incisor hypomineralization. An 18-year-old female patient came to the Outpatient Restorative Dentistry Clinic at the Federal University of Espírito Santo, complaining mainly of not feeling comfortable with a color change in her anterior teeth. Molar incisor hypomineralization was diagnosed in molars and incisors and the negative psychosocial implications for the aesthetics involved were noticed. Due to factors such as age, financial viability, technical facility and low degree of severity, we opted for maximum preservation of the healthy tooth structure, through minimal surgical intervention to remove the irregular enamel only and subsequently restore the teeth involved (11 and 21) with resin composite. For the patient, this conservative procedure restored function and aesthetics, and thereby improved her emotional and social behavior. Conservative restorations can provide real solutions, especially in cases of molar incisor hypomineralization in anterior teeth where the patient's psychological state should always be considered. An appropriate assessment of the dental substrate and a careful restorative technique are necessary for success in terms of aesthetics and function and can quickly promote the patient's well-being.

scholarly journals Success Rates of Ankaferd Blood Stopper and Ferric Sulfate as Pulpotomy Agents in Primary Molars

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Kenan Cantekin ◽  
Hüsniye Gümüş
Keyword(s):  
Primary Teeth ◽  
Clinical Success ◽  
Ferric Sulfate ◽  
Hemostatic Agent ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Success Rates ◽  
Radiographic Findings ◽  
Ankaferd Blood Stopper

Purpose. The purpose of this study was to evaluate clinical and radiographic findings of treatments using a new hemostatic agent (Ankaferd blood stopper (ABS)), as compared to ferric sulfate (FS), when used as a pulpotomy medicament in primary teeth. Materials and Methods. The primary molars (70) were selected from 35 children aged 4 to 6 years. The teeth were randomized into two groups for pulpotomy with the ABS (n=35) and the FS (n=35) agents. The patients were recalled for clinical and radiographic evaluation at 3-, 6-, 9-, and 12-month intervals. Results. At the 3- and 6-month clinical and radiographic evaluations, total success rates of 100% were observed in each group. In ABS and FS groups, the clinical success rates, however, reduced to 90.9% and 93.9% at the 9-month examination and 84,8% and 90.9% at the 12-month examination, respectively. Similarly, the teeth in the ABS and FS groups had radiographic success rates of 90.9% and 93.9% at 9 months and 84.8% and 87.8% at 12 moths, respectively. Conclusion. Although the findings indicated that ABS agents may be useful agents for pulpotomy medicament, further long-term and comprehensive histological investigations of ABS treatments are necessary.

scholarly journals Restoration Repair as a Contemporary Approach to Tooth Preservation

2019 ◽  
Vol 8 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Igor R. Blum
Keyword(s):  
Clinical Setting ◽  
Resin Composite ◽  
Evidence Based ◽  
Operative Techniques ◽  
Tooth Structure ◽  
Growing Body ◽  
Insight Into ◽  
Contemporary Approach ◽  
Composite Restoration

Despite the growing body of evidence-based knowledge, evidence-based restoration repair is not always applied in the clinical setting. This article is intended to give an evidence-based insight into the indications, importance, benefits and long-term success of resin composite restoration repair, together with details of relevant operative techniques aimed at conserving as much sound tooth structure as possible.

scholarly journals Comparing Zirconia to Anterior Strip Crowns: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sumer M Alaki ◽  
Bashaer S Abdulhadi ◽  
Medhat A Abdullah ◽  
Najla M Al-Alamoudi
Keyword(s):  
Resin Composite ◽  
Rank Test ◽  
Random Allocation ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Gingival Health ◽  
Significant Difference ◽  
Zirconia Crowns ◽  
Restoration Failure

Abstract Background Providing restorations to anterior teeth in children is a challenging task due to the need for high esthetics, strength, and durability. Aim this study was done to compare prefabricated primary zirconia with resin composite strip crowns on primary maxillary central and lateral incisors with regards to gingival health, plaque accumulation, recurrent caries, restoration failure, and opposing teeth wear over a period of 3, 6 and 12 months. Methods Children attending the King Abdulaziz University, Faculty of Dentistry (KAUFD) clinics who needed restorations were screened for inclusion criteria. A total of 120 teeth were treated; 60 with zirconia and 60 with strip crowns. Randomization was done by simple random allocation using SPSS software version 20.0 (Armonk, NY; IBM Corp.). A simple descriptive statistic was used for analysis by Wilcoxon Signed-Rank test and Chi-square test. Level of significance was set at (α = 0.05) and level of confidence at (95%). Results Zirconia crowns showed significantly less gingival bleeding at the 3- and 6-months follow up periods (p < 0.006, p < 0.001; respectively), less plaque accumulation at all follow up visits (p < 0.001), no restoration failure (p < 0.001), but more wear to opposing teeth (p < 0.02). No significant difference was found between the two crowns with regards to recurrent caries (p < 0.135). Conclusion Based on our data we conclude that overtime teeth covered with zirconia crowns show better gingival health and less bleeding, plaque accumulation, recurrent caries as well as less loss of material. On the other hand, zirconia can cause more loss of opposing tooth structure.

The use of indirect resin composite restorations in the management of localized anterior tooth wear: a clinical update part 2

Dental Update ◽  
2019 ◽  
Vol 46 (9) ◽  
pp. 812-816
Author(s):  
Virat Kumar Hansrani ◽  
Dominic Laverty ◽  
Paul Brunton
Keyword(s):  
Resin Composite ◽  
Tooth Wear ◽  
Epidemiological Studies ◽  
Anterior Tooth ◽  
Active Management ◽  
Tooth Structure ◽  
Advantages And Disadvantages ◽  
Composite Restorations ◽  
Tooth Tissue

This article will focus on the active management of localized anterior tooth wear using indirect resin composite restorations. Emphasis will be placed on minimally invasive methods of tooth preparation in order to preserve biological tooth tissue in an already compromised tooth structure. Active management commits the patient to considerable long-term maintenance and it is important, as with any treatment, that the advantages and disadvantages are fully explained to the patient. CPD/Clinical Relevance: Numerous epidemiological studies have reported tooth wear to be increasing in incidence amongst the general population. This article aims to provide a methodical conservative approach in the management of the worn dentition.

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