Planejamento digital e tratamento restaurador no restabelecimento da relação intermaxilar: relato de caso clínico
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Data
2023-12
Tipo de documento
Estudo de Caso
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
MIRANDA, Taynara de
Orientador
PERALTA, Felipe da Silva
Coorientador
WARNAVIN, Stephanie Von Stein Cubas
Resumo
O avanço das técnicas restauradoras adesivas possibilita o emprego de protocolos
mais conservadores, que favorecem a manutenção da integridade dentária. A
biocorrosão dentária é uma condição danosa que envolve a perda irreversível de
estrutura dentária devido a processos químicos causados por fontes ácidas não
relacionadas a bactérias e pode levar à redução da Dimensão Vertical de Oclusão
(DVO). O objetivo do estudo é apresentar um caso clínico de reanatomização de
todos os elementos dentários para restaurar a DVO de paciente com biocorrosão e
abfração. Paciente do sexo masculino, 54 anos, procurou atendimento odontológico
na clínica da UniSociesc em decorrência da sua insatisfação com a estética do
sorriso. O paciente apresentava sinais de redução da DVO e perda da superfície
dentária nas áreas cervicais causada por forças tensionais compressivas advindas
da flexão do dente por excesso de carga oclusal. Durante o tratamento a oclusão foi
modificada reconstruindo-se as superfícies oclusais de dentes específicos de
maneira não invasiva. O test-drive do novo suporte posterior, chamado de White
Bite, foi aditivo e ajustável utilizando resina composta e matriz de silicone. A matriz
transparente funcionou como mock-up e ajudou a replicar a anatomia definida
durante o planejamento digital além de apresentar vantagens, como: fácil manuseio,
custo operacional, facilidade de reparo, sendo também um procedimento
conservador capaz de reproduzir as características anatômicas dos dentes.
The advancement of adhesive restorative techniques makes it possible to use more conservative protocols, which favor the maintenance of dental integrity. Dental biocorrosion is a damaging condition that involves the irreversible loss of tooth structure due to chemical processes caused by acidic sources unrelated to bacteria and can lead to a reduction in the Vertical Dimension of Occlusion (VOD). The objective of the study is to present a clinical case of reanatomization of all dental elements to restore the OVD of a patient with biocorrosion and abfraction. A 54 year old male patient sought dental care at the UniSociesc clinic due to his dissatisfaction with the aesthetics of his smile. The patient showed signs of reduced OVD and loss of tooth surface in the cervical areas caused by compressive tensional forces arising from tooth flexion due to excessive occlusal load. During treatment, occlusion was modified by reconstructing the occlusal surfaces of specific teeth in a non-invasive way. The test drive of the new posterior support, called White Bite, was additive and adjustable using composite resin and silicone matrix. The transparent matrix worked as a mock-up and helped to replicate the anatomy defined during digital planning, in addition to presenting advantages such as: easy handling, operational cost, ease of repair, and is also a conservative procedure capable of reproducing the anatomical characteristics of the teeth.
The advancement of adhesive restorative techniques makes it possible to use more conservative protocols, which favor the maintenance of dental integrity. Dental biocorrosion is a damaging condition that involves the irreversible loss of tooth structure due to chemical processes caused by acidic sources unrelated to bacteria and can lead to a reduction in the Vertical Dimension of Occlusion (VOD). The objective of the study is to present a clinical case of reanatomization of all dental elements to restore the OVD of a patient with biocorrosion and abfraction. A 54 year old male patient sought dental care at the UniSociesc clinic due to his dissatisfaction with the aesthetics of his smile. The patient showed signs of reduced OVD and loss of tooth surface in the cervical areas caused by compressive tensional forces arising from tooth flexion due to excessive occlusal load. During treatment, occlusion was modified by reconstructing the occlusal surfaces of specific teeth in a non-invasive way. The test drive of the new posterior support, called White Bite, was additive and adjustable using composite resin and silicone matrix. The transparent matrix worked as a mock-up and helped to replicate the anatomy defined during digital planning, in addition to presenting advantages such as: easy handling, operational cost, ease of repair, and is also a conservative procedure capable of reproducing the anatomical characteristics of the teeth.
Palavras-chave
resinas compostas, erosão dentária, reabilitação bucal, dimensão vertical