Int J Esthet Dent. 2022 Sep 1;17(3):308-322.
Morphologic anterior tooth alterations and diastemata between the anterior teeth are often considered a major esthetic problem. In most cases, the treatment of these conditions involves a multidisciplinary approach. Orthodontic treatment together with direct composite resin veneers are a viable option to close diastemata and alter tooth shape. The extent and etiology of the diastemata must be considered and properly evaluated for the treatment. The present article is a case report of a patient with multiple diastemata in the maxillary anterior teeth, dental crowding, and peg-shaped lateral incisors corrected with orthodontic treatment and direct composite resin veneers. Digital planning was the tool used to decide the tooth proportions before orthodontic treatment and to guide the diagnostic wax-up. An etch-and-rinse adhesive system was applied after etching. A polychromatic layering technique under rubber dam isolation was used for the composite resin veneer construction. Finishing and polishing procedures were achieved using polishing discs and abrasive materials. Direct composite resin is an alternative that allows predictability, esthetics, and the possibility of adjustments, resulting in patient satisfaction.
前牙形态学改变和前牙之间的间隙常被认为是一个主要的美学问题。在大多数情况下，这些情况的治疗需要多学科的方法。正畸治疗联合直接复合树脂贴面是关闭间隙和改变牙齿形状的可行选择。必须考虑并适当评估间隙的程度和病因，以进行治疗。本文报告了一例上颌前牙多个间隙、牙拥挤和尖牙畸形的患者，采用正畸治疗和直接复合树脂贴面进行矫正。数字规划是在正畸治疗前决定牙齿比例和指导诊断蜡型的工具。酸蚀-冲洗型粘接系统在酸蚀后使用。在橡胶障隔离下采用多色分层技术进行复合树脂贴面的制作。使用抛光碟和研磨材料进行修整和抛光。直接复合树脂是一种可预测性、美观性和可调整性的替代方案，可提高患者满意度。
