Brianezzi Leticia Ferreira de Freitas, Brondino Bárbara Margarido, Chaves Giuliana Campo, Ishikiriama Sérgio Kiyoshi, Furuse Adilson Yoshio
Gen Dent. 2017 Nov-Dec;65(6):e13-e16.
Due to improvements in esthetic dentistry, the number of patients seeking to obtain a more harmonious smile has increased. A 40-year-old woman was referred for treatment because she was dissatisfied with the effect that diastemas and a conoid tooth had on her smile. Her maxillary anterior teeth were relatively short, resulting in a compromised esthetic relationship between height and width. Orthodontic treatment for better distribution of her teeth was recommended to the patient, but she refused, wanting faster and less expensive treatment. After diagnostic and waxed-up study casts were obtained, composite resin esthetic mock-ups were made to confirm that sufficient space was left for formation of the interdental papilla. After the patient approved the mock-ups, her anterior teeth were submitted to bleaching, definitive restoration, and additional occlusal adjustments. At the 1-year follow-up, the patient exhibited a harmonious, esthetic smile without black spaces or periodontal inflammation.
由于美容牙科的进步，寻求获得更和谐笑容的患者数量有所增加。一名40岁女性因对牙缝和锥形牙对其笑容的影响不满意而前来就诊。她的上颌前牙相对较短，导致高度与宽度之间的美学关系受损。建议患者进行正畸治疗以更好地分布牙齿，但她拒绝了，希望获得更快且费用更低的治疗。在获取诊断性模型和蜡型研究模型后，制作了复合树脂美学模型以确认是否为牙间乳头的形成留出了足够空间。患者批准模型后，对其前牙进行了漂白、最终修复以及额外的咬合调整。在1年的随访中，患者展现出和谐、美观的笑容，没有黑色间隙或牙周炎症。
