Aesthetic Restoration of Maxillary Incisors with Composites: Case Report

Case Report

Austin J Dent. 2015;2(1): 1012.

Aesthetic Restoration of Maxillary Incisors with Composites: Case Report

Correia AMO1, Vieira VM1, Rocha DM2 and Mendonça AAM1*

1Department of Dentistry, Federal University of Sergipe, Aracaju, Brazil

1Department of Dentistry, Federal University of Sergipe, Lagarto, Brazil

*Corresponding author: Mendonça AAM, Departament of Dentistry , Federal University of Sergipe - UFS, Rua Claudio Batista, s/n, Bairro Santo Ant´┐Żnio, Aracaju/SE, CEP: 49060-100, Brazil

Received: September 22, 2014; Accepted: January 12, 2014; Published: January 15, 2014

Abstract

The increasing demand for esthetic restorations motivates the dentist to develop special skills and knowledge of dental restorative materials. The success in restoring teeth within the aesthetical zone results in positive effect on patient's self-esteem and quality of life. The direct composite resin layering techniques allow greater preservation of sound tooth structure than indirect restorations. The main difficulties encountered by clinicians, have involved contamination due to improper isolation, individual patient characteristics, and the provision of restorations with acceptable strength, durability, and esthetics. Composite resin has become an integral part of contemporary restorative dentistry and the material of choice for Class IV restorations due to improvements in materials, conservative concepts in restorative dentistry and clinical successes. This article shows a case report of an esthetic rehabilitation of the two maxillary incisors using composites.

Keywords: Composite resin; Class IV; Esthetic dentistry

Introduction

The increasing demand for esthetic restorations motivates the dentist to develop special skills and knowledge of dental restorative materials. Restorations in the anterior region of the mouth especially, should meet high esthetic demands [1]. It is especially the smile that influences the appearance of the face as a beautiful smile seems to convey serenity, safety, and success in the beholder [2].

The success in restoring teeth within the aesthetical zone results in positive effect on patient's self-esteem and quality of life [3]. The wishes and needs of patients have to be considered in the same way as esthetic guidelines known from the scientific literature [4].

Esthetic dentistry requires minimally invasive treatments with restorations that mimic the surrounding dentition [5-7]. The direct composite resin layering techniques allow greater preservation of sound tooth structure than indirect restorations. The main difficulties encountered by clinicians, have involved contamination due to improper isolation, individual patient characteristics, and the provision of restorations with acceptable strength, durability, and esthetics [8,9].

Composite resin has become an integral part of contemporary restorative dentistry and the material of choice for Class IV restorations due to improvements in materials, conservative concepts in restorative dentistry and clinical successes [10].

Case Report

A 25 years old male was referred to the clinic of department of dentistry of the Federal University of Sergipe presenting esthetic requests in the maxillary central incisors.

Following the medical interview and data collection of general and oral health, clinical and radiographic examinations were conducted. A photographic protocol was set for assist the planning and execution of the case.

In the clinical examination, facial aspects, smile, gingival architecture and dental characteristics were analyzed. In the right maxillary incisor, extensive carious lesion was observed with involvement of the mesial side and the all three thirds of the dental element, featuring a class IV cavity. The left maxillary incisor presented an extensive composite resin restoration showing rough aspect and color change (Figure 1). Radiographically, there was a radiolucent area on the proximal surfaces (Figure 2).