Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report

Detalhes bibliográficos
Autor(a) principal: Dolenkei, Karen Katlein
Data de Publicação: 2022
Outros Autores: Tavares, Lucas do Nascimento, Magalhães, Denildo de, Raposo, Luís Henrique Araújo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20077
Resumo: The aim of this clinical report is to present the replacement of unsatisfactory metal-ceramic crowns of elements 12, 11, 21 and 22, by lithium disilicate glass-reinforced ceramic crowns in a patient with skeletal anterior open bite. A patient sought care at the Dental Hospital at the School of Dentistry of UFU, complaining of odor between the metal-ceramic crowns of the antero-superior teeth. After clinical and radiographic examination, invasion of the biological space was noticed, surgery was indicated in order to restore the biological space. After healing, the pre-existing cast metal posts were masked using an opaque composite resin and the teeth were reprepared for full all-ceramic crowns. Impressions were taken in two steps, using PVS associated to retraction cords. The ceramic copings were obtained in lithium disilicate ceramic, and the veneering was performed by stratification. After testing the ceramics crowns in relation to, fit, function and aesthetic results, cementation was completed using modified absolute isolation, followed by prophylaxis of preparations with pumice and saline, surface treatment of the ceramic restorations and luting using self-adhesive resin cement. Finally, an occlusal splint was produced to control the effects of bruxism and orofacial pain symptoms. The anterior open skeletal bite was a challenging factor for the rehabilitation of this patient; however, one must consider the entire process that the patient would undergo if choosing for orthognathic surgery, and the patient should be aware of the case limitations. In addition, the use of lithium disilicate glass-reinforced ceramics proved the versatility of this material for anterior aesthetic restorations.
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spelling Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case reportRehabilitación estética y funcional en paciente con mordida abierta esquelética utilizando cerámica reforzada con litio disilicado: reporte de caso clínicoReabilitação estética e funcional em paciente com mordida aberta esquelética utilizando cerâmica reforçada por dissilicato de lítio: relato de caso clínicoCeramicsDental ProsthesisOpen bite.CerámicaPrótesis DentalMordida abierta.CerâmicaPrótese DentáriaMordida aberta.The aim of this clinical report is to present the replacement of unsatisfactory metal-ceramic crowns of elements 12, 11, 21 and 22, by lithium disilicate glass-reinforced ceramic crowns in a patient with skeletal anterior open bite. A patient sought care at the Dental Hospital at the School of Dentistry of UFU, complaining of odor between the metal-ceramic crowns of the antero-superior teeth. After clinical and radiographic examination, invasion of the biological space was noticed, surgery was indicated in order to restore the biological space. After healing, the pre-existing cast metal posts were masked using an opaque composite resin and the teeth were reprepared for full all-ceramic crowns. Impressions were taken in two steps, using PVS associated to retraction cords. The ceramic copings were obtained in lithium disilicate ceramic, and the veneering was performed by stratification. After testing the ceramics crowns in relation to, fit, function and aesthetic results, cementation was completed using modified absolute isolation, followed by prophylaxis of preparations with pumice and saline, surface treatment of the ceramic restorations and luting using self-adhesive resin cement. Finally, an occlusal splint was produced to control the effects of bruxism and orofacial pain symptoms. The anterior open skeletal bite was a challenging factor for the rehabilitation of this patient; however, one must consider the entire process that the patient would undergo if choosing for orthognathic surgery, and the patient should be aware of the case limitations. In addition, the use of lithium disilicate glass-reinforced ceramics proved the versatility of this material for anterior aesthetic restorations.El objetivo de este caso clínico es demonstrar la sustitución de coronas metal-cerámicas insatisfactorias de los elementos 12, 11, 21 y 22, por coronas cerámicas reforzadas con disilicato de litio en paciente con mordida abierta esquelética anterior. Paciente acudió al Hospital Odontológico de la Facultad de Odontología de la UFU quejándose de mal olor entre las coronas instaladas en dientes anteriores. Tras examen clínico y radiográfico, fue conprobado invasión del espacio biológico y la necesidad de una cirugía de aumento de corona clínica. Después de la curación, los núcleos metálicos preexistentes fueran enmascarados con resina compuesta opaco y repreparados. Fue empezado el moldeo en dos pasos, utilizando silicone por adicion y fios retractores. Los copings fueram hecho en disilicato de lítio y fueran recobiertas por cerámica por la tecnica de estratificacion. Después de probar la cerámica para la adaptación, función y resultados estéticos, se realizó la cementación con aislamiento absoluto modificado, seguido de profilaxis con piedra pómez y solución salina, tratamiento superficial interno de la piezas cerámicas y la cementación con cemento resinoso autoadesivo. Finalmente, se colocó una placa estabilizadora oclusal para controlar los efectos del bruxismo y su dolor orofacial. La mordida esquelética abierta fue un reto em esto caso clínico, sin embargo, se debe tener en cuenta todo el proceso que atravesaría si se optara por la cirugía ortognática, y lo paciente se debe tener en cuenta las limitaciones del caso. Además, el uso de cerámicas reforzadas con disilicato de litio demuestra su versatilidad para restauraciones anteriores.O objetivo deste relato de caso foi demonstrar a substituição de coroas metalocerâmicas insatisfatórias nos elementos 12, 11, 21 e 22, por coroas cerâmicas reforçadas por dissilicato de lítio em paciente com mordida aberta esquelética anterior. Paciente procurou atendimento no Hospital Odontológico da Faculdade de Odontologia da UFU se queixando de odor entre as coroas instaladas nos dentes anteriores. Após exame clínico e radiográfico foi constatado invasão de espaço biológico e a necessidade de cirurgia de aumento de coroa clínica. Após cicatrização, os núcleos metálicos pré-existentes foram mascarados com resina composta opaca e repreparados. Foi realizado moldagem de trabalho em dois passos, utilizando silicone por adição associado a fios afastadores. Os copings cerâmicos foram confeccionados em dissilicato de lítio e cerâmica de cobertura foi aplicada pela técnica de estratificação. Após realizar a prova das cerâmicas em relação a adaptação, função e estética, a cimentação das coroas foi realizada utilizando isolamento absoluto modificado, seguido de profilaxia com pedra pomes e soro fisiológico, tratamento da superfície interna das peças cerâmicas e cimentação empregando cimento resinoso autoadesivo. Por último, foi confeccionada placa oclusal estabilizadora para controle dos efeitos do bruxismo e da dor orofacial. A mordida aberta esquelética foi um desafio para a substituição das restaurações indiretas nesse caso, porém, deve-se levar em consideração todos os procedimentos necessários caso a paciente optasse pela cirurgia ortognática, devendo a mesma estar ciente das limitações do caso. Além disso, a utilização de cerâmicas reforçadas por dissilicato de lítio comprova a sua versatilidade para restaurações estéticas anteriores.Research, Society and Development2022-01-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2007710.33448/rsd-v11i1.20077Research, Society and Development; Vol. 11 No. 1; e35211120077Research, Society and Development; Vol. 11 Núm. 1; e35211120077Research, Society and Development; v. 11 n. 1; e352111200772525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/20077/21955Copyright (c) 2022 Karen Katlein Dolenkei; Lucas do Nascimento Tavares; Denildo de Magalhães; Luís Henrique Araújo Raposohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDolenkei, Karen KatleinTavares, Lucas do NascimentoMagalhães, Denildo de Raposo, Luís Henrique Araújo 2022-01-16T18:08:18Zoai:ojs.pkp.sfu.ca:article/20077Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:49.638510Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
Rehabilitación estética y funcional en paciente con mordida abierta esquelética utilizando cerámica reforzada con litio disilicado: reporte de caso clínico
Reabilitação estética e funcional em paciente com mordida aberta esquelética utilizando cerâmica reforçada por dissilicato de lítio: relato de caso clínico
title Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
spellingShingle Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
Dolenkei, Karen Katlein
Ceramics
Dental Prosthesis
Open bite.
Cerámica
Prótesis Dental
Mordida abierta.
Cerâmica
Prótese Dentária
Mordida aberta.
title_short Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
title_full Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
title_fullStr Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
title_full_unstemmed Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
title_sort Aesthetic and functional rehabilitation in a patient with anterior skeletal open bite using lithium dissilicate glass-reinforced ceramic: a case report
author Dolenkei, Karen Katlein
author_facet Dolenkei, Karen Katlein
Tavares, Lucas do Nascimento
Magalhães, Denildo de
Raposo, Luís Henrique Araújo
author_role author
author2 Tavares, Lucas do Nascimento
Magalhães, Denildo de
Raposo, Luís Henrique Araújo
author2_role author
author
author
dc.contributor.author.fl_str_mv Dolenkei, Karen Katlein
Tavares, Lucas do Nascimento
Magalhães, Denildo de
Raposo, Luís Henrique Araújo
dc.subject.por.fl_str_mv Ceramics
Dental Prosthesis
Open bite.
Cerámica
Prótesis Dental
Mordida abierta.
Cerâmica
Prótese Dentária
Mordida aberta.
topic Ceramics
Dental Prosthesis
Open bite.
Cerámica
Prótesis Dental
Mordida abierta.
Cerâmica
Prótese Dentária
Mordida aberta.
description The aim of this clinical report is to present the replacement of unsatisfactory metal-ceramic crowns of elements 12, 11, 21 and 22, by lithium disilicate glass-reinforced ceramic crowns in a patient with skeletal anterior open bite. A patient sought care at the Dental Hospital at the School of Dentistry of UFU, complaining of odor between the metal-ceramic crowns of the antero-superior teeth. After clinical and radiographic examination, invasion of the biological space was noticed, surgery was indicated in order to restore the biological space. After healing, the pre-existing cast metal posts were masked using an opaque composite resin and the teeth were reprepared for full all-ceramic crowns. Impressions were taken in two steps, using PVS associated to retraction cords. The ceramic copings were obtained in lithium disilicate ceramic, and the veneering was performed by stratification. After testing the ceramics crowns in relation to, fit, function and aesthetic results, cementation was completed using modified absolute isolation, followed by prophylaxis of preparations with pumice and saline, surface treatment of the ceramic restorations and luting using self-adhesive resin cement. Finally, an occlusal splint was produced to control the effects of bruxism and orofacial pain symptoms. The anterior open skeletal bite was a challenging factor for the rehabilitation of this patient; however, one must consider the entire process that the patient would undergo if choosing for orthognathic surgery, and the patient should be aware of the case limitations. In addition, the use of lithium disilicate glass-reinforced ceramics proved the versatility of this material for anterior aesthetic restorations.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20077
10.33448/rsd-v11i1.20077
url https://rsdjournal.org/index.php/rsd/article/view/20077
identifier_str_mv 10.33448/rsd-v11i1.20077
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20077/21955
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 1; e35211120077
Research, Society and Development; Vol. 11 Núm. 1; e35211120077
Research, Society and Development; v. 11 n. 1; e35211120077
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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