A importância do planejamento integrado na reabilitação oral: relato de caso

Abstract

The growing impact of social media encourages individuals to increasingly seek dental treatments in pursuit of a more aesthetically pleasing smile. However, dentistry extends beyond aesthetics and encompasses overall oral health. Effective oral rehabilitations with an aesthetic focus require precise diagnosis, planning, and treatment. This clinical case illustrates the significance of integrated planning in enhancing the aesthetics of upper front teeth through "metal-free" Emax crowns and composite resin veneers. These techniques aim to closely replicate natural teeth characteristics while restoring functionality. The patient initially expressed dissatisfaction with her smile's aesthetics, citing variations in tooth shape and color. Examination revealed significant restorations, structural loss, discoloration in tooth 11, and an infiltration issue in tooth 12's crown. Prior to treatment, photographic documentation and plaster models were created for diagnosis and planning. Following clinical evaluation, a periodontal surgery was performed to adjust the gingival margin of the front teeth (11, 12, 21, and 22). The unsatisfactory crown of tooth 12 was replaced with a correctly fitting provisional one before the periodontal surgery. After a 60-day healing period, prosthetic preparation of tooth 11 involved the use of a fiberglass pin for core restoration due to substantial structural loss. Tooth preparations utilized the individual coping technique to create single-unit ceramic crowns (Emax). Subsequently, composite resin veneers were applied to tooth 21. After glazing, the crowns were adhesively cemented. The completed treatment resulted in excellent shape and color outcomes. Although subtle variations may be noticed by professionals due to the use of different materials, they do not affect the overall aesthetic harmony and functionality. Delivering lasting and satisfactory treatments tailored to each patient's unique circumstances depends on accurate diagnosis, planning, and the appropriate use of materials and techniques. Ultimately, this approach ensures both aesthetic and functional results.