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Restabelecimento estético e funcional de incisivos centrais superiores associando pinos de fibra de vidro e restaurações livres de metal

Relato de caso clínico descreve uma reabilitação em incisivos centrais associando diferentes próteses cerâmicas com o uso de retentor à base de fibra de vidro.

AUTORES

Carolina Schuster Ouriques
Graduanda da Faculdade de Odontologia – Universidade Federal de Pelotas.
Orcid: 0000-0001-6644-4278.

Douglas Silva de Almeida
Graduando da Faculdade de Odontologia – Universidade Federal de Pelotas.
Orcid: 0000-0002-2297-7715.

Mateus Bertolini Fernandes dos Santos
Doutor em Clínica Odontológica, área de Prótese Dental – Universidade Estadual de Campinas; Professor adjunto da Faculdade de Odontologia – Universidade Federal de Pelotas.
Orcid: 0000-0001-5477-4077.

Noéli Boscato
Doutora em Clínica Odontológica, área de Prótese Dental – FOP-Unicamp; Professora associada da Faculdade de Odontologia – Universidade Federal de Pelotas.
Orcid: 0000-0002-3817-1732.

César Dalmolin Bergoli
Doutor em Prótese Dentária – Unesp; Professor adjunto da Faculdade de Odontologia – Universidade Federal de Pelotas.
Orcid: 0000-0003-4835-8477.


RESUMO

A região anterior de maxila exige uma maior sensibilidade estética do cirurgião-dentista ao planejar um tratamento restaurador, no qual o profissional deve aliar características como cor e forma com funcionalidade, a fim de promover longevidade e sucesso. Sendo assim, restaurações em cerâmica pura são a melhor opção na maioria dos casos porque, além de apresentarem resultados estéticos superiores aos das metalocerâmicas, também apresentam ótimas propriedades mecânicas e biológicas, bem como excelentes taxas de sobrevivência a longo prazo. Portanto, o objetivo deste relato de caso clínico foi descrever uma reabilitação em incisivos centrais associando diferentes próteses cerâmicas com o uso de retentor à base de fibra de vidro. Assim, foi realizada uma faceta cerâmica no elemento 11 e uma coroa unitária no elemento 21 associada a pino de fibra de vidro e núcleo de resina composta. Além disso, com a finalidade de otimizar o resultado estético, foi executado um clareamento caseiro supervisionado com peróxido de carbamida a 16%. Logo, a utilização de cerâmicas livres de metal, desde que respeitando e seguindo a indicação correta, além do uso cauteloso dos materiais odontológicos, possibilita a obtenção de um alto padrão estético e funcional, aumentando a chance de sucesso clínico a longo prazo.

Palavras-chave – Prótese dentária; Materiais dentários; Relato de caso; Estética dentária.

ABSTRACT

The anterior region of the maxilla requires greater aesthetic sensitivity from the dentist when planning a restorative treatment. Thus, the professional must be combine characteristics such as color and form with functionality, in order to promote longevity and success. Therefore, all-ceramic restorations are the best option in most cases, because, in addition to having superior aesthetic results than metal-ceramics, they also have excellent mechanical and biological properties and have excellent long-term survival rates. Thus, the objective of this clinical case is to describe a rehabilitation in central incisors and to associate different ceramic prostheses with the use of a fiberglass post. Therefore, a ceramic veneer was made on upper right central incisor and a unitary crown on upper right central incisor, associated with a fiberglass post and a composite resin core. In addition, to optimize the esthetic, supervised at-home bleaching with 16% carbamide peroxide was performed. Therefore, the use of metal-free ceramics, respecting and following the correct indication, and the careful use of dental materials, make it possible to obtain a high aesthetic and functional standard. Thus, increasing the chance of long-term clinical success.

Key words – Dental prosthesis; Dental materials; Case report; Esthetics dental.

Recebido em ago/2021
Aprovado em out/2021

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