Abstract:Treatment quality is directly related to the amount of procedures implemented by the orthodontist, associated with concepts and resources from Periodontics and Dental Prosthesis. Microesthetics cannot be seen in isolation, but rather as the key to establish a pleasant smile (miniesthetics) in addition to a harmonious face (macroesthetics) and a human being with high self-esteem (hyper-esthetics).
“…The reference using the center of the clinical crown is a good choice for prosthetic rehabilitation of patients since dental reconstruction and recoating or gingival recontouring occur prior to orthodontic treatment. In cases where the smile exhibits periodontal or gingival defects concomitantly with fractures, wear or alteration in the dental shape, the bonding of the orthodontic accessories using gingival zenith as a reference is a viable option to obtain the gingival leveling and then proceed to prosthetic rehabilitation [5,10].…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, patients with low smile line in which the gingival architecture does not expose the presence of gingival contour discrepancies does not require correction, as this condition is aesthetically irrelevant [1,2,10]. Before the bonding of the brackets, the periodontal probing is essential to establish the references to be followed [1,6].…”
Section: Discussionmentioning
confidence: 99%
“…This technique can also be used for condemned teeth [5,15]. In this case, the tooth with bone loss allows close to cervical collections during extrusion by performing the vertical displacement of the element to be extracted, which favors the tissue gain of the gingival [10,15]. For cases of recessions that do not involve areas of papilla or bad tooth position, previous periodontal graft to the orthodontic treatment may favor the result of gingival health since certain movements as expansion of the dental arch may increase the gum recession [5].…”
Section: Braces Bonding Upper Central Incisorsmentioning
“…The reference using the center of the clinical crown is a good choice for prosthetic rehabilitation of patients since dental reconstruction and recoating or gingival recontouring occur prior to orthodontic treatment. In cases where the smile exhibits periodontal or gingival defects concomitantly with fractures, wear or alteration in the dental shape, the bonding of the orthodontic accessories using gingival zenith as a reference is a viable option to obtain the gingival leveling and then proceed to prosthetic rehabilitation [5,10].…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, patients with low smile line in which the gingival architecture does not expose the presence of gingival contour discrepancies does not require correction, as this condition is aesthetically irrelevant [1,2,10]. Before the bonding of the brackets, the periodontal probing is essential to establish the references to be followed [1,6].…”
Section: Discussionmentioning
confidence: 99%
“…This technique can also be used for condemned teeth [5,15]. In this case, the tooth with bone loss allows close to cervical collections during extrusion by performing the vertical displacement of the element to be extracted, which favors the tissue gain of the gingival [10,15]. For cases of recessions that do not involve areas of papilla or bad tooth position, previous periodontal graft to the orthodontic treatment may favor the result of gingival health since certain movements as expansion of the dental arch may increase the gum recession [5].…”
Section: Braces Bonding Upper Central Incisorsmentioning
“…(14) Quando o sorriso torna-se menos agradável devido às alterações nessas linhas de referência do zênite gengival, existe a possibilidade de correção com cirurgia periodontal, como aumento de coroa clínica. (15) Essa posição definida deve respeitar o espaço biológico e a arquitetura da crista óssea alveolar. As técnicas cirúrgicas tem por objetivos restabelecer funcionalmente e esteticamente, como também recuperar a simetria e a harmonia gengival.…”
Section: Revisão Da Literaturaunclassified
“…As técnicas cirúrgicas tem por objetivos restabelecer funcionalmente e esteticamente, como também recuperar a simetria e a harmonia gengival. (16)(17)(18) Outra alteração na estética dental, que causa desconforto ao paciente, são os dentes escurecidos, que independente da causa, seja por fatores intrínsecos ou extrínsecos, pode ser minimizado com o clareamento dentário, microabrasão, facetas ou coroas. (19) Para casos em que o escurecimento dentário está presente, o clareamento dentário deve ser indicado como tratamento inicial, sendo este um procedimento que consiste basicamente na aplicação de um gel clareador à base de peróxido de carbamida ou de hidrogênio sobre os dentes que se pretende clarear.…”
ResumoO anseio por um sorriso estético e harmônico eleva o nível de exigência e de expectativa do paciente devido o indivíduo estar inserido numa sociedade onde a aparência tem grande relevância na sua aceitação e autoestima. Dentro desse contexto, uma abordagem multidisciplinar para a reabilitação estética e funcional do sorriso foi inserida na Odontologia contemporânea, destacando-se tratamentos mais conservadores como o clareamento dentário, o aumento de coroa clínica, coroas e facetas cerâmicas por meio de materiais que mimetizem as estruturas dentais. O objetivo deste trabalho é apresentar uma revisão de literatura a respeito de reabilitações do sorriso em cerâmica pura, que se baseia em enceramento diagnóstico e planejamento reverso, uso de mock-up e fotografias, aumento de coroa clínica, clareamento, cimentação adesiva, com foco no resultado estético final. Um bom planejamento integrado, com a indicação correta, possibilita uma abordagem mais conservadora da estrutura dental, apresentando-se como excelente solução para alterações estéticas e funcionais do sorriso. Portanto, é indiscutível a importância do conhecimento por parte do profissional, sobre o material e sua técnica, para obtenção de um resultado satisfatório. Conclui-se que a reabilitação estética do sorriso ocorre a partir de uma multidisciplinaridade entre várias especialidades, que posteriormente a um planejamento integrado, permitem restabelecer o sorriso.
Peg‐shaped maxillary lateral incisors cause many functional and esthetic major consequences in affected patients. Their esthetic and functional rehabilitations are often multidisciplinary, involving different clinical procedures like periodontal, orthodontic, or prosthodontic procedures. No exhaustive protocol has been established to improve their comprehensive management by general dentists or specialists. The aim of this article is to elaborate a simplified clinical protocol of complete management of peg‐shaped maxillary lateral incisors by a multidisciplinary team (general practitioners, orthodontists, and prosthodontists). A clinical case of two peg‐shaped maxillary lateral incisors completely rehabilitated with multidisciplinary approaches including orthodontic treatment and restoration by veneers and direct composite resin, according to the established protocol. Extraoral, intraoral, and smile clinical analysis are crucial to ensure optimal rehabilitation. Treatment results previsualization via wax‐up and/or mock‐up play a key role in the communication between practitioner and patient to help the latter make decision. These options also facilitate the achievement of a multidisciplinary approach by accurately estimating the number of dental movements and the type of restorations that are most suitable to the presenting clinical situation.
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