The Five Senses of Adhesive Rehabilitation – Part 2
In dentistry, it is increasingly necessary to resort to various specialties to try to get the best final aesthetic and functional result. Moreover the adhesive materials and techniques presently allow us to preserve much tooth structure. A young patient came to our office after finishing an orthodontic treatment to improve the dental aesthetics in anterior teeth. In the intra-oral examination we observed some interproximal spaces to close, a severe change in the shape and color of existing teeth and the presence of deciduous teeth. The existence of a primary tooth in place in the canine, took us to the placement of an implant. One might we follow different treatment plans: ceramic restorations or composite resin restorations. However, the treatment planning would always be the same. Compared to a composite resin, the ceramic has the advantage of being biocompatible and stable in surface gloss and color. In this case, because of the high aesthetic demand the patient has chosen to make ceramic veneers. We want to share the importance of good planning between the various dental specialties and try to preserve the dental tissues, hoping to get a proper and natural aesthetic and functional result.
Performing a proper functional and aesthetic planning, using effective communication between the dentist, the ceramist and the patient, increases the chances of the restorative success and longevity.
I want to thank the whole team who worked with me on this case at the Instituto Superior de Ciências da Saúde Egas Moniz: João Rua, Cátia Moreno, Helder Costa and Pedro Brito.
Devoto W. Direct and indirect restorations in the anterior area: a comparison between the procedures. QDT Yearbook 2003;26:127-138.
Belser UC, Magne P, Magne M, Ceramic laminate veneers: Continuous evolution of indications. J Esthet Dent 1997; 9: 197-207.
Calamia JR, Calamia CS, Porcelain laminate veneers: Reasons for 25 Years of success. Dent Clin N Am 2007:51: 399-417.
Magne P, Magne M, Jovanovic SA, An esthetic solution for single implant restorations – type III porcelain veneer bonded to a screw-retained custom abutment: A clinical Report. J. Prosthet Dent 2008;99:2-7.