Minimally Invasive Multidisciplinary Restorative Approach to the Esthetic Zone Including a Single Discolored Tooth
Autor: | F Garcia-Godoy, Carlos Alberto Jurado, Akimasa Tsujimoto, J Villalobos-Tinoco, S Alresayes, Nicholas G. Fischer, R A Sanchez-Hernandez, Hidehiko Watanabe |
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Rok vydání: | 2021 |
Předmět: |
Tooth whitening
Electrosurgery business.industry Root canal medicine.medical_treatment Glass ionomer cement Dentistry Hydrogen Peroxide Gingivoplasty Esthetics Dental Dental Porcelain chemistry.chemical_compound Dental Veneers medicine.anatomical_structure chemistry Discolored tooth Tooth Bleaching Medicine Washi Humans Tooth Discoloration Female Sodium perborate business General Dentistry |
Zdroj: | Operative dentistry. 46(5) |
ISSN: | 1559-2863 |
Popis: | SUMMARY Objectives The case report describes a minimally invasive, multidisciplinary approach to a single discolored anterior tooth, with internal bleaching using traditional Japanese paper (Washi), a gingivoplasty with a three-dimensional (3D) printed surgical guide, and ultrathin feldspathic porcelain veneers. Clinical consideration The patient’s primary concern was improving her smile. After clinical evaluation, internal tooth bleaching for the discolored tooth and gingivoplasty with restoration of the maxillary anterior six teeth and first premolars was recommended. The internal tooth whitening was accomplished with sodium perborate mixed with 30% hydrogen peroxide impregnated in Washi and sealed in the root canal with glass ionomer. Once the tooth bleaching was completed, the 3D printed surgical guide was placed in the patient’s maxillary anterior region and used to guide soft tissue recontouring. After 6 months, ultrathin feldspathic porcelain veneers were placed. Conclusion Well-planned restorative procedures combining internal tooth bleaching using Washi, gingivoplasty performed with electrosurgery using a 3D printed surgical guide, and ultrathin feldspathic porcelain veneers can achieve the desired results in the esthetic zone and remain successful for 4 years. |
Databáze: | OpenAIRE |
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