Revista Dental Press de Estética V olume 4 - Número 2 - Abril / Maio ...
Revista Dental Press de Estética V olume 4 - Número 2 - Abril / Maio ...
Revista Dental Press de Estética V olume 4 - Número 2 - Abril / Maio ...
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Agenesia dos incisivos laterais: um gran<strong>de</strong> <strong>de</strong>safio para a Odontologia Estética<br />
e <strong>de</strong>ve li<strong>de</strong>rar os objetivos, em conjunto com<br />
os conceitos <strong>de</strong> cor e forma. Todos estes fatores<br />
aumentam o tempo restaurador na técnica<br />
atual. Desta forma, o acabamento e polimento<br />
estão cada vez mais breves, limitados<br />
a pouco excesso cervical e proximal. Instrumentais<br />
como lâmina fina <strong>de</strong> bisturi número<br />
12, indicada para os excessos cervicais, lixas<br />
rotatórias <strong>de</strong> plástico fino 3M Soflex (# 4931)<br />
ou Oraltech e lixas manuais finas são usadas<br />
nas áreas proximais.<br />
7) Imagem auxiliar: trabalhar com equipamento<br />
<strong>de</strong> imagem <strong>de</strong> boa qualida<strong>de</strong> é fundamental<br />
para todas as fases do tratamento<br />
estético. A comparação e a evolução do caso<br />
<strong>de</strong>vem ser plenamente documentadas. A visão<br />
frontal do monitor é mais in<strong>de</strong>pen<strong>de</strong>nte<br />
e po<strong>de</strong> revelar diferenças na macroforma durante<br />
a restauração direta dos <strong>de</strong>ntes, ainda<br />
em tempo <strong>de</strong> serem resolvidas.<br />
Lateral incisor absence: a huge challenge for the<br />
Esthetic Dentistry<br />
Abstract<br />
The potential of contemporary restorative<br />
techniques on treating the absence of upper lateral<br />
incisors is presented on this article. Even with early<br />
diagnose, on most of the cases, esthetic treatment<br />
is often carried out on the patient’s fully-grown<br />
stage, with great psychological involvement of<br />
the patient. The multidisciplinary approach for this<br />
type of anomaly should inclu<strong>de</strong> the orthodontist,<br />
the implantology specialist and the esthetic<br />
<strong>de</strong>ntistry specialist. The resolution of the case is<br />
directly related to the early planning and beginning<br />
of the treatment. A good coordination among the<br />
specialties related to the Esthetic Dentistry seems<br />
to be the better way to treat these cases, and a long<br />
time of treatment can be used. The mo<strong>de</strong>rn esthetic<br />
treatments with composite and porcelain veneers<br />
can offer excellent results and are recommen<strong>de</strong>d<br />
for adult patients. These techniques <strong>de</strong>mand a lot<br />
of practice and experience from the <strong>de</strong>ntist and a<br />
well established clinical protocol. The crescent use<br />
of composites due to its recent evolution opposes<br />
to the use of porcelain. New concepts, materials<br />
and restorative techniques are allied to teeth<br />
conservativeness and technique reversibility.<br />
KEY WORDS: Composite resin. Direct composite resin. Resin restoration. Esthetic restoration.<br />
122 R <strong>Dental</strong> <strong>Press</strong> Estét, Maringá, v. 4, n. 2, p. 107-123, abr./maio/jun. 2007
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