Reabilitação cerâmica em paciente com bruxismo: relato de caso

Abstract

INTRODUCTION: Currently, patients with a large one and one occlusion offerism demand more common esthetics in dental practice, so the rehabilitative treatment aims to meet the patient's wishes. OBJECTIVES: To report the clinical case of a patient with bruxism who underwent rehabilitation with ceramic veneers reinforced with Lithium Disilicate, seeking a satisfactory aesthetic rehabilitation. METHODOLOGY: Patient A.L.L., 52 years old, female, sought dental care at Clínica Atualle, dissatisfied with the aesthetics of her smile and complaining of muscle discomfort. During the anamnesis, it was observed that the patient had an overjet and had dental wear compatible with bruxism. After all radiographic examinations were completed, a digital planning was performed to determine the new length of the teeth. The wax-up of the model for the patient's mouth was performed using the Mock-up technique. With the Mock-up ready and the patient's authorization, some changes were made until the preparation and molding. Then, the molds were sent to the laboratory where the pieces were made in Ceramic reinforced by Lithium Disilicate, with the finished pieces a test was carried out in the mouth for approval. With the patient's approval, in another clinical session, the pieces were cemented with light-curing resin cement. Subsequently, a new session was scheduled to perform the finishing and polishing of the pieces, after which an interocclusal plate was made for the treatment of Bruxism of the patient, seeking to improve the symptoms and avoid possible fractures of the pieces. RESULT: In this clinical case, it was expected to be able to return the aesthetics desired by the patient, reduce muscle pain, avoid fractures of the dental structure, ceramic pieces and restorations, with the help of the interocclusal splint, promoting the health and well-being of the patient. CONCLUSION OR FINAL CONSIDERATIONS: It is concluded that ceramic rehabilitation in patients with bruxism is a great treatment option for the return of smile aesthetics and functional rehabilitation.