Oral rehabilitation with fixed prosthesis in patients with primary eruption failure (FPE) – case report

Vol. 12 – Number 48 – 2021 NOTEBOOK OF CLINICAL DENTISTRY Case report Page 68-74 Oral rehabilitation with fixed prosthesis in patients with primary eruption failure (FPE) – case report Cristiano Pires e Silva¹ Lara Pepita de Souza Oliveira² Abstract Mechanical obstruction, environmental or genetic factors are some of the causes for tooth eruption failures, which can compromise adequate mandibular maxillary growth. Primary eruption failure (PEF) is a rare condition, in which the teeth involved partially erupt and remain submerged or ankylized, causing a posterior open bite. The objective of this work is to present a case report of aesthetic and functional oral rehabilitation with fixed prosthesis (total crowns and ceramic veneers), in a patient with PEF. Male patient, 30 years old, sought care complaining of dissatisfaction with the smile aspect due to failure with previously performed prosthetic and orthodontic treatment. Through anamnesis, clinical, and radiographic examination, bilateral posterior ankylosis was found in some dental elements, which were unsuccessful in previous treatments performed with orthodontics and removable prostheses, in addition to incisal wear present in anterior teeth. Thus, the treatment aimed to correct the insertion axis, improve the biomechanics and aesthetics of these teeth. Preparations were made with additions of composite resin for the rehabilitation with acid-sensitive ceramic crowns of lithium disilicate. Ceramic veneers were used to rehabilitate anterior upper teeth, which showed incisal wear due to inadequate bite. The patient was very satisfied with the aesthetic-functional return of his treatment. Thus, it is concluded that PEF is a condition capable of inducing failures of orthodontic or surgical treatments in an attempt to move, which maximizes the relevance of its early diagnosis. Descriptors: Crowns, contact lenses, dent disease. ¹ Master in Dental Clinic – FAO/UFAM, Specialist in Dental Prosthesis – PUC/MG, Adjunct Professor of Fixed Prosthesis and Occlusion – UEA. ² Master student in Dentistry (Oral Rehabilitation) – FAO/UFAM. DOI: 10.24077/2021;1248-6874