Case Report
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Treatment of Anterior Diastemas With Direct Composite Resin Restorations After Orthodontic Treatment: Case Report

Year 2021, Volume: 3 Issue: 1, 45 - 48, 30.04.2021

Abstract

Diastemas which in anterior regions of jaws, may cause aesthetic and psychological problems in patients. There are orthodontic, prosthetic and restorative treatment options in the treatment of diastemas. Sometimes, in case of only orthodontic treatment is not sufficient, other treatment methods are used to close diastemas. The restorative treatment option is usually preferred, because it is time and cost more advantageous than prosthetic treatment. In this case report, restorative treatment was required for the remaining diastemas between the bilateral canine and lateral teeth after orthodontic treatment. The teeth were roughened with 37% phosphoric acid (i-Gel, i-Dental, Lithuania) without any preparation. Then, one-step self-etch adhesive (Clearfil S3 Bond Plus, Kuraray, Tokyo, Japan) was applied according to the manufacturer's instructions. Direct composite resin (Clearfil Majesty Esthetic, Kuraray, Tokyo, Japan) restorations were made with incremental technique. Finally, finishing process were made using fine-grain diamond burs and composite polishing discs (Sof-lex, 3M ESPE, USA). As a result, direct composite restorations are a successful treatment method for closing diastemas with a correct technique and meticulous use of materials.

References

  • 1. Dayangaç GB. Kompozit Rezin Restorasyonlar. 2.Baskı. İstanbul: Quintessence Yayıncılık; 2011. p1.
  • 2. Baratieri LN, Monteiro Júnior S, Correa M, Ritter AV. Posterior resin composite restorations: a new technique. Quintessence Int. 1996 Nov;27(11):733-8.
  • 3. Frankenberger R, Lohbauer U, Roggendorf MJ, Naumann M, Taschner M. Selective enamel etching reconsidered: better than etch-and-rinse and self-etch? J Adhes Dent. 2008 Oct;10(5):339-44.
  • 4. de Araujo Júnior EM, Baratieri LN, Monteiro Júnior S, Vieira LC, de Andrada MA. Direct adhesive restoration of anterior teeth. Part 1. Fundamentals of excellence. Pract Proced Aesthet Dent. 2003 Apr;15(3):233-40.
  • 5. de Araujo EM Jr, Baratieri LN, Monteiro S Jr, Vieira LC, de Andrada MA. Direct adhesive restoration of anterior teeth: Part 2. Clinical protocol. Pract Proced Aesthet Dent. 2003 Jun;15(5):351-7.
  • 6. Chu FC, Siu AS, Newsome PR, Wei SH. Management of median diastema. Gen Dent. 2001 May-Jun;49(3):282-7.
  • 7. Oesterle LJ, Shellhart WC. Maxillary midline diastemas: a look at the causes. J Am Dent Assoc. 1999 Jan;130(1):85-94.
  • 8. Furuse AY, Herkrath FJ, Franco EJ, Benetti AR, Mondelli J. Multidisciplinary management of anterior diastemata: clinical procedures. Pract Proced Aesthet Dent. 2007 Apr;19(3):185-9.
  • 9. Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, Ding P. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dec;38(12):1001-9.
  • 10. Stappert CFJ, Ozden U, Gerds T, Strub JR. Longevity and failure load of ceramic veneers with different preparation designs after exposure to masticatory simulation. Journal of Prosthetic Dentistry. 2005 Aug;94(2):132-139.
  • 11. Walls AW, Steele JG, Wassell RW. Crowns and other extra-coronal restorations: porcelain laminate veneers. Br Dent J. 2002 Jul 27;193(2):73-6.
  • 12. Civelek A, Özel E. Işıkla polimerize olan kompozitlerin polimerizasyon derinliği. Akademik Dental Diş Hekimliği Dergisi. 2004;6(4):34-8.
  • 13. Venturini D, Cenci MS, Demarco FF, Camacho GB, Powers JM. Effect of polishing techniques and time on surface roughness, hardness and microleakage of resin composite restorations. Oper Dent. 2006 Jan-Feb;31(1):11-7.
  • 14. Cho HS, Jang HS, Kim DK, Park JC, Kim HJ, Choi SH, Kim CK, Kim BO. The effects of interproximal distance between roots on the existence of interdental papillae according to the distance from the contact point to the alveolar crest. J Periodontol. 2006 Oct;77(10):1651-7.
  • 15. De Araujo EM Jr, Fortkamp S, Baratieri LN. Closure of diastema and gingival recontouring using direct adhesive restorations: a case report. J Esthet Restor Dent. 2009;21(4):229-40.

Ortodontik Tedavi Sonrası Anterior Diastemaların Direkt Kompozit Rezinlerle Restorasyonu: Olgu Sunumu

Year 2021, Volume: 3 Issue: 1, 45 - 48, 30.04.2021

Abstract

Anterior bölgede bulunan diastemalar, hastalarda estetik ve psikolojik sorunlara yol açmaktadır. Diastemaların tedavisinde ortodontik, protetik ve restoratif tedavi seçenekleri bulunmaktadır. Bazen sadece ortodontik tedavinin yeterli olmadığı durumlarda diğer tedavi yöntemleri kullanılarak diastemaların kapatılması sağlanır. Restoratif tedavi seçeneği zaman ve maliyet gibi faktörlerden daha avantajlı olduğu için protetik tedaviden daha çok tercih edilirler. Bu olgu sunumunda ortodontik tedavi sonrası çift taraflı kanin ve lateral dişler arasındaki bulunan diastemalar için restoratif tedavi gerekli olmuştur. Dişler üzerinde herhangi bir preparasyon yapılmadan %37’lik fosforik asit (i-Gel, i-Dental, Litvanya) ile pürüzlendirildi. Daha sonra tek aşamalı self etch adeziv (Clearfil S3 Bond Plus, Kuraray, Tokyo, Japonya) üretici firmanın talimatlarına göre uygulandı. Tabakalama tekniği kullanılarak direkt kompozit rezin (Clearfil Majesty Esthetic, Kuraray, Tokyo, Japonya) restorasyonlar ile yapıldı. Son olarak ince grenli elmas frezler ve kompozit polisaj diskleri (Sof-lex, 3M ESPE, ABD) kullanılarak bitirme işlemleri uygulandı. Sonuç olarak doğru bir teknik ve materyallerin titizlikle kullanımı ile direkt kompozit restorasyonlar diastemaların kapatılmasında başarılı bir tedavi yöntemidir.

References

  • 1. Dayangaç GB. Kompozit Rezin Restorasyonlar. 2.Baskı. İstanbul: Quintessence Yayıncılık; 2011. p1.
  • 2. Baratieri LN, Monteiro Júnior S, Correa M, Ritter AV. Posterior resin composite restorations: a new technique. Quintessence Int. 1996 Nov;27(11):733-8.
  • 3. Frankenberger R, Lohbauer U, Roggendorf MJ, Naumann M, Taschner M. Selective enamel etching reconsidered: better than etch-and-rinse and self-etch? J Adhes Dent. 2008 Oct;10(5):339-44.
  • 4. de Araujo Júnior EM, Baratieri LN, Monteiro Júnior S, Vieira LC, de Andrada MA. Direct adhesive restoration of anterior teeth. Part 1. Fundamentals of excellence. Pract Proced Aesthet Dent. 2003 Apr;15(3):233-40.
  • 5. de Araujo EM Jr, Baratieri LN, Monteiro S Jr, Vieira LC, de Andrada MA. Direct adhesive restoration of anterior teeth: Part 2. Clinical protocol. Pract Proced Aesthet Dent. 2003 Jun;15(5):351-7.
  • 6. Chu FC, Siu AS, Newsome PR, Wei SH. Management of median diastema. Gen Dent. 2001 May-Jun;49(3):282-7.
  • 7. Oesterle LJ, Shellhart WC. Maxillary midline diastemas: a look at the causes. J Am Dent Assoc. 1999 Jan;130(1):85-94.
  • 8. Furuse AY, Herkrath FJ, Franco EJ, Benetti AR, Mondelli J. Multidisciplinary management of anterior diastemata: clinical procedures. Pract Proced Aesthet Dent. 2007 Apr;19(3):185-9.
  • 9. Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, Ding P. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dec;38(12):1001-9.
  • 10. Stappert CFJ, Ozden U, Gerds T, Strub JR. Longevity and failure load of ceramic veneers with different preparation designs after exposure to masticatory simulation. Journal of Prosthetic Dentistry. 2005 Aug;94(2):132-139.
  • 11. Walls AW, Steele JG, Wassell RW. Crowns and other extra-coronal restorations: porcelain laminate veneers. Br Dent J. 2002 Jul 27;193(2):73-6.
  • 12. Civelek A, Özel E. Işıkla polimerize olan kompozitlerin polimerizasyon derinliği. Akademik Dental Diş Hekimliği Dergisi. 2004;6(4):34-8.
  • 13. Venturini D, Cenci MS, Demarco FF, Camacho GB, Powers JM. Effect of polishing techniques and time on surface roughness, hardness and microleakage of resin composite restorations. Oper Dent. 2006 Jan-Feb;31(1):11-7.
  • 14. Cho HS, Jang HS, Kim DK, Park JC, Kim HJ, Choi SH, Kim CK, Kim BO. The effects of interproximal distance between roots on the existence of interdental papillae according to the distance from the contact point to the alveolar crest. J Periodontol. 2006 Oct;77(10):1651-7.
  • 15. De Araujo EM Jr, Fortkamp S, Baratieri LN. Closure of diastema and gingival recontouring using direct adhesive restorations: a case report. J Esthet Restor Dent. 2009;21(4):229-40.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section CASE REPORT
Authors

Alperen Murat Yalnız 0000-0001-6886-9042

Publication Date April 30, 2021
Submission Date March 14, 2021
Acceptance Date April 14, 2021
Published in Issue Year 2021 Volume: 3 Issue: 1

Cite

Vancouver Yalnız AM. Ortodontik Tedavi Sonrası Anterior Diastemaların Direkt Kompozit Rezinlerle Restorasyonu: Olgu Sunumu. NEU Dent J. 2021;3(1):45-8.