Reabilitação estética de cerâmica pós-tratamento endodôntico em paciente com bruxismo: relato de caso

Abstract

INTRODUCTION: Currently, the demand for aesthetic procedures has been growing a lot and this has not been different in dentistry. Patients crave white, straight and properly shaped teeth and seek the perfect smile. Thus, ceramic veneers have proven to be an excellent option for aesthetic treatment, due to their biocompatibility, resistance, longevity and wide range of colors, and especially in cases of endodontically treated teeth that tend to darken. OBJECTIVES: The present work will report a clinical case, in which the patient was dissatisfied with the aesthetics of her smile, mainly because she had a darkened anterior tooth due to endodontic treatment, so a treatment with ceramic veneer was performed to rehabilitate its aesthetics and its function. METHODOLOGY: After anamnesis, clinical examination, radiographic examinations and photographs, the case planning was carried out, as well as digital planning to define the new dimensions of the teeth. The rehabilitative treatment started with the transfer of the waxing model to the patient's mouth using the mock-up technique. After carrying out the mock-up, we made the necessary changes 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 reinforced with makeup lithium disilicate were made. Subsequently, a dry test was carried out, then a test with a test paste (Try-In, Variolink Venner) of the ceramic pieces in order to correct the small color changes of the prosthetic pieces for cementation. And with the final approval of the ceramic result, the pieces were cemented with light-cured resin cement. In a new session, the finishing of the ceramic restorations was carried out, ending with an impression to make the interocclusal plates for bruxism, improving the parafunctional symptoms and preventing possible wear and tooth fractures. RESULTS: The resolution of this case had a great impact on the patient's self-esteem and quality of life. The restoration of her smile provided a harmonious, aesthetic smile with adequate function, promoting health and a satisfactory aesthetic result for the patient. The rehabilitative treatment in this clinical case was successfully completed. FINAL CONSIDERATIONS: Lithium disilicate ceramic is an excellent alternative that offers a good aesthetic result for dankened teeth and offers longevity as in the case demonstrated in this work.