Aesthetic rehabilitation of anterior fractured teeth

Vol. 11 – Number 41 – 2019 CLINICAL DENTISTRY NOTEBOOK Case report Page 101-105 Aesthetic rehabilitation of anterior fractured teeth Thiago Santos Moura1 Claúdio Heliomar Vicente da-Silva2 Paulo Fonseca Menezes Filho2 Mayara Larissa Moura de Souza4 Abstract Coronary fractures cause aesthetic impairment and alteration of chewing and phonation, directly interfering in the individuals quality of life. Faced with this problem, for patient rehabilitation, the fragment can be bonded (when existing) or composite resin or ceramic restorations. The aim of this paper is to report a clinical case of aesthetic rehabilitation of fractured anterior teeth. Patient sought care at the Clinic of the Specialization Course in Dentistry of the Postgraduate Center in Dentistry (CPGO), Recife/PE, complaining of fracture in the maxillary central incisors.  Clinical and radiographic examination revealed oblique coronary fracture of enamel and dentin, without biological impairment. The patient underwent dental bleaching treatment and the teeth were restored directly with composite resin with the aid of a silicone palatal guide. The result showed satisfaction expressed by the patient. It was concluded that the tooth whitening technique was effective, facilitating the reach of mimicry and ideal color of the composite resin to be employed; the use of the palatal guide made of addition silicone allowed adequate anatomy of the lingual face and definition of the contour; the treatment performed presented excellent reproduction of the shape, color and texture of the dental structure, allowing the restoration of a harmonious smile. Descriptors: Dental esthetics, tooth injuries, permanent dental restoration, composite resins. 1 Facsete, Esp. in Dentistry – Center for Graduate Studies in Dentistry – CPGO. 2 Facsete, Esp. in Dentistry – Center for Graduate Studies in Dentistry – CPGO, Department of Prosthesis and Bucofacial Surgery – UFPE. 4 Hospital Dentistry with an emphasis on Oncology – UFPE.