Pontons-Melo Juan Carlos, Garcia Isadora Martini, Leitune Vicente Castelo Branco, Collares Fabrício Mezzomo
Department of Esthetic and Restorative Dentistry, School of Dentistry, Universidad Científica del Sur, Lima, Peru
Int J Esthet Dent. 2021 May 10;16(2):216-230.
The altered size, shape or position of the teeth affect their proper alignment, the harmony of the smile, and the dentofacial composition. The aim of this article is to describe a minimally invasive approach to improve the esthetics of a patient through the golden proportion (GP) concept with the use of direct composite resin stratification.
A 26-year-old female complained about the appearance of her smile due to the existing spaces between her anterior teeth; her small, peg-shaped lateral incisors; the wear of her canines; and the color of her teeth. The clinical examination confirmed diastemas in the anterior teeth, peg-shaped maxillary lateral incisors, and incisal wear of the canines. Treatment with dental whitening followed by composite restorations was performed in line with the current conservative approach in dentistry. The patient was followed up for 18 months.
The use of the additive technique with composite for the closure of diastemas under the GP concept illustrates an example of viable management to restore esthetic harmony through a minimally invasive approach, with reliability over time and the advantages of being less laborious, less time consuming, and less expensive than other approaches. The treatment plan was acceptable to the patient.
牙齿大小、形状或位置的改变会影响其正常排列、微笑的协调性以及牙颌面结构。本文旨在描述一种微创方法,即通过黄金比例(GP)概念并运用直接复合树脂分层技术来改善患者的美观度。
一名26岁女性因前牙间隙、过小的钉状侧切牙、犬牙磨损以及牙齿颜色等问题而对自己的笑容外观不满意。临床检查证实存在前牙间隙、上颌钉状侧切牙以及犬牙切端磨损。按照当前牙科的保守治疗方法,先进行牙齿美白,然后进行复合树脂修复。对该患者进行了18个月的随访。
在GP概念下使用复合树脂的加法技术关闭间隙,展示了一种可行的治疗方法,即通过微创方法恢复美观协调性,具有长期可靠性,且与其他方法相比,具有操作更简便、耗时更短、成本更低的优点。该治疗方案患者可接受。