Resinas compostas para reabilitação estética e funcional do sorriso em paciente com lesões não cariosas: relato de caso

Abstract

INTRODUCTION: Non-carious lesions and premature oral aging are currently present in a large part of the population. The loss of tooth structure due to external factors can affect not only the esthetics, but also the patient's function and occlusion. For treatment, in addition to removing the etiological factors, composite resins or ceramics can be used to replace the lost tooth structure. OBJECTIVES: To develop and report a case of a patient with non-carious lesions from gastroesophageal reflux and bruxism, rehabilitated with veneers and direct composite resin restorations. METHODOLOGY: This clinical case will be developed in a male patient, who sought treatment with complaints of tooth wear and tooth sensitivity. Anamnesis, photographs and detailed clinical examination will be performed. Initially, the patient was instructed to seek a doctor for the treatment of gastroesophageal reflux. An aesthetic planning and waxing will be carried out to guide the rehabilitation. Composite resin veneers will be performed after minimal preparation and based on prior planning and waxing. In the second session, veneers and occlusal restorations of the posterior teeth will be performed, adjustments and finishing polishing. Subsequently, a muscle relaxant plate will be made and periodic monitoring will be carried out. RESULTS: Aesthetics, function and health were provided to the patient, giving him back self-esteem and the pleasure of smiling, in the realization of the desire for changes through the aggregation of restorative materials and techniques, achieving harmony and naturalness for the face and smile of this patient. FINAL CONSIDERATIONS: Composite resin is a low- cost alternative when compared to indirect ceramic restorations, it offers good aesthetic results and offers considerable longevity, as in the case demonstrated in this study.