Reabilitação estética com materiais restauradores diretos – relato de caso clínico

Abstract

The purpose of this work was to plan and to perform a clinical case of oral rehabilitation using direct restorative materials, i.e., resin composite. Female patient, without bruxism history, pursued dental treatment in order to get tooth restoration and pain treatment in a tooth. After anamnesis, it was noted that the patient was healthy, without any systemic issues. After clinic examination, the oral hygiene was considered poor, with supragingival biofilm and dental calculus reaching almost all teeth. Periodontal scraping and prophylaxis were performed, followed by identification of the presence of several Class I and II posterior restorations made of amalgam and resin composite; all the restorations were defective; teeth 17, 27 and 35 were associated to secondary caries. Concerning the upper anterior teeth, some showed active tooth decay (teeth 12, 11 and 23), whereas some others were fractured at the incisal and mesial surfaces (teeth 11, 21 and 23). The treatment plan involved adjustments in the oral environment, with treatment of the secondary caries lesions; direct restorations with resin composite were planned as well as preparation of lithium dissilicate laminate veneers at teeth 13, 12, 11, 21, 22 and 23. However, this planning changed during the restorative treatment, so that other type of restorations were performed rather than the ones previously planned. Taking into consideration that the treatment plan may changeit can be concluded that it is important that the dentist be flexible and capable of changes during the performance of esthetic rehabilitations in anterior and/or posterior teeth, increasing the possibility of reaching clinical success.