Keywords
papillar induction
operative dentistry
periodontics
case report Diastema
indução papilar
dentística operatória
periodontia
relato de caso
How to Cite
Abstract
Diastemas happen due to several factors, among them, discrepancy in the size of the teeth and abnormal insertion of the labial frenum. These changes directly affect the harmony of the smile, generating aesthetic dissatisfaction. This article aims to discuss the direct technique of closing diastemas and papillary induction as a way to prevent the formation of dark triangles. Young patient, 22 years old, female, student, sought care at the Faculty of Dentistry of the Federal University of Pará, reporting dissatisfaction with her smile, caused by the space present between the upper central incisors. Anamnesis, clinical assessment intra and extra oral, intra oral photos, periapical radiography and distance measurement between the distal faces element 11 and 21 to determine the ideal midline, the case continued with the molding of the arches with irreversible hydrocolloid and obtaining the plaster model, diagnostic waxing, guide with condensation silicone, selection of composite resins Trans-N and A2 restoration, photoactivation using the blue photoactivator LED with light intensity of 1,100mW / cm2 / 15 seconds, and a wavelength of 420 -480nm. The contact point was adequate, while the restoration was made, there were additions in the cervical region of the teeth to change the papillary contour. In the finishing, abrasive strips and a sequence of diamond polishing tips 2135F and 2135FF were used and in the Enhance System polishing, a sequence of medium and fine grained sanding discs and felt discs with polishing paste, achieving adequate aesthetics and function as well as satisfaction of the patient.
References
Wolff D, Kraus T, Schach C, Pritsch M, Mente J, Staehle HJ, et al. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent. 2010 Dez; 38(12):1001-9.
Kina M, Leal FA, Fabre AF, Martin OCL, Coimbra MC de, Kina J. Tratamento restaurador estético minimamente invasivo através da técnica direta com compósito.Relato de caso clínico. Arch Health Invest. 2015 Nov; 4(4):50-5
Junior ASS, Villa Verde FA, Hirata R,Gomes JC. Restauração de fechamento de diastema com resina composta: relato de caso. Full Dent Sci, 2010 Dez; 3(10): 230-5.
Schwarz V, Simon L, Silva S, Ghiggi P, Cericato G. Fechamento de Diastema com resina co mposta. J Oral Invest. 2013 Fev; 2(1): 26-31.
Fortkamp S, Baratieri LN, Araújo EM. Closure of diastema and gingival recontouring using direct adhesive restorations: a case report. J Esthet Restor Dent. 2009;21(4):229-40.
Follak AC, Ilha BD, Ribeiro DS,Mielk JC, Buligon MP, De David SC, Brandão L, Durand LB. Reanatomização e fechamento de triângulo negro em dentes ântero superiores. Rev Dent on line. 2012; 11(23):26-32.
Park JAEH, Sharma AA. Esthetic considerations in interdental papilla: remediation and regeneration. J Esthet Restor Dent. 2010;22(1):18-28.
Rosales AB, Carvacho DDN, Cacciutolo RS, Guineo MG, Fuentes CG. Conservative approach for the esthetic management of multiple interdental spaces: a systematic approach. J Esthet Restor Dent. 2015 Jul; 27(6): 344-54.
Rao R, Vishwanath BT. Esthetic enhancement with diastema closure-a case report. Ind J of Dent. 2011 Out; 2(4): 184-6.
Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol. 1992 Dez; 63(12):995-6.
Kim YH, Cho YB. Diastema closure with direct composite: architectural gingival contouring. J Korean Acad Conserv Dent. 2011 Nov; 36(6): 515-20.
Lee DW, Kim CK, Park KH, Cho KS, Moon IS. Non‐invasive method to measure the length of soft tissue from the top of the papilla to the crestal bone. J Periodontol. 2005 Ago; 76(8): 1311-14.
Sobrinho KN, Lima LM, Cohen-Carneiro F, Silva LM, Martins LM, Pontes DG. The role of emergence profile in papilla maintenance after diastema closure with direct composite resin restorations. Gen Dent. 2016 Jun; 64(3): 1-4.
Ridolfi LML, Barros LAB, Montandon AAB, Nagle MM, Ricci WA. Fechamento de diastema posterior com resina composta pela técnica semi-direta. Rev Odont UNESP. 2019; 47 ed. Especial, p. 0-0, 2019.
Andrade L. Silva C, Dias S. Fechamento de diastema e reanatomização com cerâmica odontológica: relato de caso. Arc Health Invest. 2020 Abr; 8(10): 601-5.
Wittneben J, Buser D, Belser U, Brägger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Inter J Period & Rest Dent. 2013 Jul; 33(4): 447-55.
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