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Orthodontics and veneers to restore the anterior guidance. A minimally invasive approach

机译:牙齿矫正和贴面修复前指导。微创方法

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摘要

Tooth wear is defined as the progressive loss of a tooth’s surface due to actions other than those which cause tooth decay or dental trauma. It is a pathological condition with an increasing prevalence among young people. The aim of this article is to describe an alternative treatment modality to rehabilitate the anterior guidance by a minimally invasive interdisciplinary ortho-restorative treatment. Two patients came to the dental clinic for restorative treatment in order to rehabilitate the worn anterior dentition. Clinical analysis showed tooth surface loss located at the incisal edges by attrition due to an inadequate anterior guidance. In both cases the occlusal vertical dimension was reduced. First, following Dahl’s principle, resin attachments were placed in the upper canines. These attachments allowed the extrusion of posterior teeth in order to increase the occlusal vertical dimension. Furthermore, anterior teeth were intruded in order to create space for the restorative material. In the second phase, the restorative treatment was completed. Due to the characteristics of the case, feldspathic ceramic veneers were indicated. A diagnostic wax-up was performed to assist the treatment planning and a mock-up was prepared. Then, maxillary incisors were prepared through the mock-up to ensure a minimally invasive technique. Afterwards, silicone impressions were taken. Finally, veneers were cemented with a light-cured cement. In the present case, the functional and aesthetic parameters required by the patients were achieved, thus satisfying their needs. > Key words:Tooth wear, anterior guidance, feldspathic veneers, Dahl’s principle, minimally invasive.
机译:牙齿磨损的定义是由于除导致蛀牙或牙齿外伤的行为以外的其他行为导致牙齿表面逐渐丧失。这是一种青年人患病率不断上升的病理状况。本文的目的是描述通过微创学科间正畸修复治疗来恢复前路指导的替代治疗方式。为了恢复已磨损的前牙列,两名患者来到牙科诊所进行修复治疗。临床分析表明,由于前路引导不充分,磨耗导致牙齿表面损失位于切牙边缘。在这两种情况下,咬合垂直尺寸均减小。首先,按照达尔的原则,在上犬牙上放置树脂附件。这些附件允许后牙挤压,以增加咬合垂直尺寸。此外,前牙被侵入以便为修复材料创造空间。在第二阶段,修复治疗已完成。由于案件的特点,指出了长石质陶瓷饰面。进行诊断性打蜡以辅助治疗计划,并准备了模型。然后,通过模型准备上颌切牙以确保微创技术。之后,拍摄有机硅印模。最后,单板用光固化水泥固结。在当前情况下,实现了患者所需的功能和美学参数,从而满足了他们的需求。 >关键字:牙齿磨损,前引导,长石表面饰板,达尔原理,微创。

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