Reabilitação estética e funcional com cerâmicas adesivas: relato de caso
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Data
2022-07-25
Autores
Dousseau, Caroline [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Resultados excepcionais podem ser alcançados na reabilitação funcional e estética com cerâmicas adesivas. Várias ferramentas de diagnóstico, planejamento e execução estão disponíveis com o objetivo de alcançar a excelência no tratamento reabilitador estético. As fotografias digitais, desenho digital do sorriso (DSD), ensaio estético e guias de orientação para desgastes são importantes recursos utilizados, e associados à filosofia adesiva possibilitam previsibilidade, comunicação e orientação eficientes na fase laboratorial. O êxito para uma reabilitação estética depende de um adequado planejamento, associando conhecimento e técnica, tornando possível um sorriso agradável dentro do contexto facial. É muito importante desenvolver uma relação humana, despertar a motivação do paciente e ouvir quais são suas expectativas na reabilitação. O objetivo deste trabalho é apresentar um caso clínico de reabilitação oral funcional e estética guiadas pelas ferramentas acima citadas. Para a primeira etapa do tratamento foram executados 14 laminados cerâmicos em dissilicato de lítio, tendo como ponto de partida o exame clínico, fotografias e planejamento completo dos arcos superior e inferior. Na sequência realizou-se: escaneamento, enceramento virtual, ensaio estético, preparos protéticos e cimentação adesiva do arco superior. Foi escolhida a condução digital devido à previsibilidade, conforto e rapidez do atendimento. O fluxo digital favorece menor tempo clínico, maior conforto, previsibilidade conforme o planejamento e o armazenamento digital de dados.
Exceptional results can be reached in the functional and aesthetic reconstruction with adhesive ceramics. Various diagnostic, planning and execution tools are available with the aim of achieving excellence in aesthetic rehabilitation treatment. Digital photographs, digital smile design (DSD), aesthetic testing and orientation guides for tear are important used resources, and when associated with the adhesive ceramics philosophy enables predictability, communication and efficient optimization in the laboratory phase. Success for aesthetic rehabilitation depends on planning, combining knowledge and technique, making a smile possible within the facial context. It is very important to develop a humanized relationship, raise the patient’s motivation and also listen to its expectations in the rehab process. The objective of this work is to present a clinical case of functional oral rehabilitation guided by the above mentioned tools. For the first stage of the treatment, 14 laminated ceramics made out of disilicate of lithium were used for planning the clinical examination as well as photographs and planning of the upper and lower arches. Subsequently, scanning, virtual waxing, aesthetic testing, preparations and adhesive cementation of the upper arch were performed. Digital driving was chosen due to the predictability, comfort and speed of service. The digital flow favors less clinical time, greater comfort, predictability according to planning and digital data storage.
Exceptional results can be reached in the functional and aesthetic reconstruction with adhesive ceramics. Various diagnostic, planning and execution tools are available with the aim of achieving excellence in aesthetic rehabilitation treatment. Digital photographs, digital smile design (DSD), aesthetic testing and orientation guides for tear are important used resources, and when associated with the adhesive ceramics philosophy enables predictability, communication and efficient optimization in the laboratory phase. Success for aesthetic rehabilitation depends on planning, combining knowledge and technique, making a smile possible within the facial context. It is very important to develop a humanized relationship, raise the patient’s motivation and also listen to its expectations in the rehab process. The objective of this work is to present a clinical case of functional oral rehabilitation guided by the above mentioned tools. For the first stage of the treatment, 14 laminated ceramics made out of disilicate of lithium were used for planning the clinical examination as well as photographs and planning of the upper and lower arches. Subsequently, scanning, virtual waxing, aesthetic testing, preparations and adhesive cementation of the upper arch were performed. Digital driving was chosen due to the predictability, comfort and speed of service. The digital flow favors less clinical time, greater comfort, predictability according to planning and digital data storage.
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Palavras-chave
Prótese dentária, Fluxo de trabalho, Projeto auxiliado por computador, Planejamento de prótese dentária, Dental prosthesis