Conservative dentistry: non-beveled esthetic restorations in anterior teeth

Valente, Lisia Lorea; Münchow, Eliseu Aldrighi; Peralta, Sonia Luque; Souza, Niélli Caetano de

doi:10.1590/1981-8637201400040000142488

Cited by 1 publication

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“…Although the most common cracked teeth are molars [29], anterior teeth may also be affected as the case reported [7,1]. Coronal fractures of permanent teeth are very common in young individuals, primarily in the incisal third of the central anterior teeth [30,31]. Our case presented a previously restored fracture and "craze lines" adjacent to the fracture that were asymptomatic.…”

Section: Discussionmentioning

confidence: 68%

Diagnosis and Treatment of Anterior Cracked Tooth: A Case Report

Rosa¹,

Brondani²,

Silva³

et al. 2017

J Clin Adv Dent

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Background: A cracked tooth may be challenging for dentists because it may present with varied intensities, may be asymptomatic, and may still not be clinically visible. The transilumination method can facilitate diagnosis and ensure appropriate treatment in such cases. The aim of the present article was to report a clinical case of an anterior cracked tooth with a nonesthetic class IV restoration. Clinical considerations: A 22-year-old male patient with chief complaint of esthetics of upper front tooth reported a history of dental trauma. Transilumination with a dental curing light unit was used to examine the region. The tooth 11 was diagnosed with several cracks and a nonesthetic class IV restoration. For repair, the universal adhesive system Scotchbond Universal was applied without previous acid etching, followed by the application of Filtek Z350 of color type B2 (for body) above the old restoration, taking care to slightly overlap the fracture line with the composite and to not extend the composite until the incisal margin. Subsequently, a thin layer of Filtek Z350 of color type B2 (for enamel) was applied over the bevel until the incisal margin, and the tooth shape was carved. Conclusion: This case report demonstrates simplifi ed diagnosis of an anterior cracked tooth with transilumination; following repair, the esthetic quality of the restoration was considered satisfactory and approved by the patient.

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