Goiato Marcelo Coelho, Pesqueira Aldiéris Alves, dos Santos Daniela Micheline, Haddad Marcela Filié, Moreno Amália, Bannwart Lisiane Cristina
Department of Dental Materials and Prosthodontics, Araçatuba Dental School, University of the State of São Paulo, Araçatuba, Brazil.
J Craniofac Surg. 2011 Jan;22(1):155-8. doi: 10.1097/SCS.0b013e3181f6f9ea.
The objective of modern odontology is to reconstitute to the patient the comfort, the function, the aesthetic form, the phonetic capability, and normal health. However, the more the patient is toothless, the more this objective becomes difficult inside traditional dentistry. As a result of continuous research of materials and techniques, permissible success is now a reality, whitewashing many challenging clinical situations. Thus, the objective of the article was to present a clinical case where association of the universal cast to long abutment pillars and EsthetiCone were used for aesthetic whitewashing. A man presented to the clinic of the Faculty of Dentistry, Universidade Estadual Paulista. After clinical examination and radiographic evaluation evidenced the necessity of substitution of fixed prostheses (15-25), he was presented with disadaptation and a favorable aesthetic solution. Ahead of the evaluated picture and considering the extension of the toothless space made, it was opted more, to the accomplishment of surgery, the setting of 2 implantations in the region and 2 in each edentate side of the posterior portion of the jaw. On 6 implants and 2 teeth, 10 metal ceramic crowns had been confectioned: 4 of them being joined in the region of the 12 to the 22 and the other 6 as unit crowns in the region of the 13, the 14, the 15, the 23, the 24, and the 25. The carried-through treatment was capable to return the aesthetic form, the function, the phonetic capability, the comfort, and the health of the verbal socket.
现代牙科学的目标是为患者恢复舒适感、功能、美学形态、发音能力和正常健康状态。然而，患者缺牙越多，在传统牙科领域实现这一目标就越困难。由于对材料和技术的不断研究，现在已取得了可允许的成功，解决了许多具有挑战性的临床情况。因此，本文的目的是介绍一个临床病例，其中将通用铸造体与长基台柱和美学牙冠相结合用于美学修复。一名男子前往圣保罗州立大学牙科学院诊所就诊。经过临床检查和影像学评估，证明有必要更换固定修复体（15 - 25），他存在适配不良问题，需要一个良好的美学解决方案。在评估病情并考虑到缺牙间隙的范围后，决定更多地采用手术方式，在该区域植入2颗种植体，并在颌骨后部的每个无牙侧各植入2颗。在6颗种植体和2颗牙齿上制作了10个金属烤瓷冠：其中4个在12至22区域相连，另外6个作为单冠分别位于13、14、15、23、24和25区域。所实施的治疗能够恢复口腔的美学形态、功能、发音能力、舒适度和健康状态。
