Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

Abstract

This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

Subepithelial connective tissue graft conjugated to minimally invasive ceramic laminates—1 year follow‐up

“…In addition, since this is a bruxoma patient, ceramic laminates have greater resistance and, consequently, greater longevity 27 . Moreover, ceramic restorations can result in better periodontal health when compared to composite resin 28 . According to the literature, ceramic laminates are increasingly used in cosmetic restorations, since they provide color, translucency and biocompatibility, and restore the shape and function of the tooth, especially in young patients 1,29 .…”

Minimally invasive aesthetic rehabilitation in composite resin: report of two clinical cases

“…Therefore, esthetic rehabilitation should include reestablishment of occlusion, such as anterior and lateral guidance as shown in cases 1 and 2. Besides, not only the esthetic design is important, but also the new emergency profile to improve the incisal reestablishment with the lips and the anterior and lateral disocclusion guides [17].…”

“…The existing restorations were removed with a spherical diamond bur #1014 (KG Sorensen, Barueri, Brazil), used under constant water irrigation (Figure 6b). Then, adequate isolation was performed using a rubber dam isolation modificated (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) (Figure 6c). After the teeth preparation, the same adhesive protocol and materials applied in case 1 were performed.…”

Minimally Invasive Laminate Veneers: Clinical Aspects in Treatment Planning and Cementation Procedures

“…Studies show results ranging from 5 to 20 years of clinical outcomes after the procedure [8, 9, 37, 38]. A functional balance and the correct adjustment of the contacts are also essential to avoid problems, especially fractures of the incisal edges; protrusive and lateral guides should be checked for proper system stability [39]. Successful anterior restorations can be achieved when using a detailed treatment plan and when considering both the aesthetic and the functional parameters [39, 40].…”