Reabilitação estética funcional em paciente com bruxismo: acompanhamento de seis meses

Abstract

INTRODUCTION: Currently, there is a great demand for patients with bruxism, with wear and tear resulting from this problem, in search of more satisfactory aesthetics. Thus, the multidisciplinary rehabilitation treatment involving ceramic restorations can be carried out with the objective of reaching patient wishes. OBJECTIVE: To report a clinical case in which a patient with bruxism underwent a multidisciplinary treatment for satisfactory aesthetic rehabilitation. METHODOLOGY: After all radiographic examinations were performed, digital planning was carried out to define the new lengths of the teeth. The transfer of the wax-up from the model to the patient's mouth was performed using the mock-up technique. After performing the mock-up, the necessary changes were made and with the patient's authorization, the preparations and molding were carried out. Then, the molds were sent to the laboratory, where the ceramic pieces were made, reinforced with made-up lithium disilicate. Later, the ceramic pieces were tasted in the mouth, in another clinical session, with the final approval of the ceramic result, cemented with light-curing resin cement. In a new session, the finishing of the ceramic restorations was carried out to make the bruxism plate, to avoid possible fractures of the restorations. RESULTS: The rehabilitation treatment, in this clinical case, was successfully completed, promoting health and satisfactory aesthetics to the patient. CONCLUSIONS: A multidisciplinary approach between orthodontics and dentistry followed by the protection of the stomatognathic system by the occlusal splint can promote satisfactory results.