Conservative Approach for the Esthetic Management of Multiple Interdental Spaces

A Systematic Approach

Abelardo Báez Rosales, Diego De Nordenflycht Carvacho, Ramón Schlieper Cacciutolo, Manuel Gajardo Guineo, Claudio Gandarillas Fuentes

Resultado de la investigación: Article

1 Cita (Scopus)

Resumen

Purpose To describe a conservative approach using resin-based composites following a buccolingual layering technique with a customized silicon index for the management of multiple diastemas. Clinical Considerations This clinical article describes the case of a patient with their anterior teeth esthetically compromised by multiple diastemas, incisal wear, and dull/low-value cervical composite resin restorations that were managed with nanofilled composite resin using the "buccolingual technique" with a customized silicon index made from a wax-up to build up the restorations. The first layer of composite placed lingually that represents the enamel replacement was placed directly on the silicon index so that it provides in one single step the lingual profile and the position of the incisal edge of the restoration. Then, dentine and effect composite resin can be applied in a precise three-dimensional configuration. Conclusions To solve esthetic dental problems, as anterior diastemas, in a very conservative and even reversible way, the use of direct resin composites for layering is an excellent choice, but should be performed based on simple and reproducible techniques, as the buccolingual technique. Clinical Significance The clinical technique described in this paper shows the advantages of a conservative approach to correct diastemas on maxillary anterior teeth. The application of these techniques can not only help achieve optimal esthetics, but also avoid the removal of extensive dental hard tissue and achieve a predictable final result, especially in esthetically demanding cases.

Idioma originalEnglish
Páginas (desde-hasta)344-354
Número de páginas11
PublicaciónJournal of Esthetic and Restorative Dentistry
Volumen27
N.º6
DOI
EstadoPublished - 1 nov 2015

Huella dactilar

Diastema
Composite Resins
Esthetics
Silicon
Tooth
Dental Esthetics
Waxes
Dentin
Dental Enamel
Tongue

ASJC Scopus subject areas

  • Dentistry(all)

Citar esto

Báez Rosales, Abelardo ; De Nordenflycht Carvacho, Diego ; Schlieper Cacciutolo, Ramón ; Gajardo Guineo, Manuel ; Gandarillas Fuentes, Claudio. / Conservative Approach for the Esthetic Management of Multiple Interdental Spaces : A Systematic Approach. En: Journal of Esthetic and Restorative Dentistry. 2015 ; Vol. 27, N.º 6. pp. 344-354.
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abstract = "Purpose To describe a conservative approach using resin-based composites following a buccolingual layering technique with a customized silicon index for the management of multiple diastemas. Clinical Considerations This clinical article describes the case of a patient with their anterior teeth esthetically compromised by multiple diastemas, incisal wear, and dull/low-value cervical composite resin restorations that were managed with nanofilled composite resin using the {"}buccolingual technique{"} with a customized silicon index made from a wax-up to build up the restorations. The first layer of composite placed lingually that represents the enamel replacement was placed directly on the silicon index so that it provides in one single step the lingual profile and the position of the incisal edge of the restoration. Then, dentine and effect composite resin can be applied in a precise three-dimensional configuration. Conclusions To solve esthetic dental problems, as anterior diastemas, in a very conservative and even reversible way, the use of direct resin composites for layering is an excellent choice, but should be performed based on simple and reproducible techniques, as the buccolingual technique. Clinical Significance The clinical technique described in this paper shows the advantages of a conservative approach to correct diastemas on maxillary anterior teeth. The application of these techniques can not only help achieve optimal esthetics, but also avoid the removal of extensive dental hard tissue and achieve a predictable final result, especially in esthetically demanding cases.",
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Báez Rosales, A, De Nordenflycht Carvacho, D, Schlieper Cacciutolo, R, Gajardo Guineo, M & Gandarillas Fuentes, C 2015, 'Conservative Approach for the Esthetic Management of Multiple Interdental Spaces: A Systematic Approach', Journal of Esthetic and Restorative Dentistry, vol. 27, n.º 6, pp. 344-354. https://doi.org/10.1111/jerd.12175

Conservative Approach for the Esthetic Management of Multiple Interdental Spaces : A Systematic Approach. / Báez Rosales, Abelardo; De Nordenflycht Carvacho, Diego; Schlieper Cacciutolo, Ramón; Gajardo Guineo, Manuel; Gandarillas Fuentes, Claudio.

En: Journal of Esthetic and Restorative Dentistry, Vol. 27, N.º 6, 01.11.2015, p. 344-354.

Resultado de la investigación: Article

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AB - Purpose To describe a conservative approach using resin-based composites following a buccolingual layering technique with a customized silicon index for the management of multiple diastemas. Clinical Considerations This clinical article describes the case of a patient with their anterior teeth esthetically compromised by multiple diastemas, incisal wear, and dull/low-value cervical composite resin restorations that were managed with nanofilled composite resin using the "buccolingual technique" with a customized silicon index made from a wax-up to build up the restorations. The first layer of composite placed lingually that represents the enamel replacement was placed directly on the silicon index so that it provides in one single step the lingual profile and the position of the incisal edge of the restoration. Then, dentine and effect composite resin can be applied in a precise three-dimensional configuration. Conclusions To solve esthetic dental problems, as anterior diastemas, in a very conservative and even reversible way, the use of direct resin composites for layering is an excellent choice, but should be performed based on simple and reproducible techniques, as the buccolingual technique. Clinical Significance The clinical technique described in this paper shows the advantages of a conservative approach to correct diastemas on maxillary anterior teeth. The application of these techniques can not only help achieve optimal esthetics, but also avoid the removal of extensive dental hard tissue and achieve a predictable final result, especially in esthetically demanding cases.

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