Fechamento de diastemas múltiplos com resina composta: uma opção conservadora e eficaz – relato de caso

Abstract

INTRODUCTION: Currently, the search for a harmonious smile has been frequent among patients who are dissatisfied with their relationship, mainly due to the presence of diastemas. Diastemas occur mainly due to the discrepancy between the size of the teeth and the size of the arch or by the inappropriate distribution of tooth spacing, which can directly affect the patient's personal, professional and social life. In order to achieve a successful outcome and prognosis, a correct diagnosis is essential for the elaboration of the treatment plan that will best meet the patient's needs. PURPOSE: The present work had the purpose of carrying out and presenting a clinical case in which the patient had diastemas in the anterior region and was rehabilitated with direct composite resin veneers, a conservative and low-cost treatment, which provided a quick return of aesthetics and patient satisfaction. METHODOLOGY: After photographs and clinical examination, scraping was performed to recover gingival health and home tooth whitening with 16% carbamide peroxide. The planning was carried out, looking for the ideal measures for the teeth, according to the patient's smile and face. A diagnostic wax-up was performed on a study model, which allowed the preparation of a restorative test (mock-up) to allow predictability of the treatment. After approval by the patient in the next session, restorations were performed. Modified absolute isolation, acid conditioning and application of a universal adhesive system were carried out. The veneers were made with nanoparticulate resin (Z-350 XT, 3M ESPE). Various colors and opacities were used to obtain incisal and natural effects. RESULTS: Finally, finishing and polishing was carried out according to a specific protocol. CONCLUSION: At the end of the treatment, the harmony and aesthetics of the smile were recovered. It is concluded that the direct facets in composite resin for the purpose of closing diastemas, provided that with correct planning, provide a harmonic smile meeting the expectations of the patient in relation to his oral aesthetics.