Yıpranmış Restorasyonlara Sahip Maksiller Lateral Dişlerin Enjekte Edilebilir Rezin Kompozitler ile Estetik Rehabilitasyonu

Abstract

Maksiller lateral kesici dişler, arktaki diğer dişlere göre zaman zaman daha küçük formda oluşmasıyla sık diastema görülen dişlerden biridir. Anterior alanda diastemalar; estetik, konuşma ve fonksiyon açısından hastayı etkileyebilir. Bu vakada amaç; maksiller lateral dişleri, enjekte edilebilen rezin kompozitlerle restore ederek hastada estetiği sağlamaktır. 24 yaşında sağlıklı, erkek hasta kliniğimize başvurdu. Muayene sonucunda #12 ve #22'de renklenmiş restorasyonlar tespit edildi. Ağız içi tarayıcı (CEREC OmniCam, Dentsply Sirona) ile dijital ölçü alındı. ExoCad ile 3 boyutlu modelleme ve tasarım tamamlandı, 3 boyutlu reçine yazıcı (Max X, Asiga) kullanılarak model elde edildi. Model üzerinde şeffaf silikon ile indeks (Exaclear, GC) elde edildi. Hasta kliniğe çağrıldı ve rubberdam izolasyonunun ardından restorasyonlar kaldırıldı. #12’nin distalinde ve #22’nin her iki yanında diastema varlığı tespit edildi. Mineye %37'lik ortofosforik asit ve (Gel Etchant, Kerr) ardından universal adeziv (G-Premio, GC) uygulandı ve polimerize edildi. Enjekte edilebilir rezin kompozit (G-aenial Universal Injectable, A1, GC) indeksin insizalinde yer alan deliklerden uygulandı ve hem bukkal hem de palatinalden polimerize edildi. İnterproksimal alanlar 12 numaralı bistüri bıçağıyla temizlendi. Alüminyum oksit kaplı cila diskleri (OptiDisc, Kerr) ve elmas emdirilmiş spiraller (DiaComp Plus Twist, Eve) ile bitim ve polisaj yapıldı. Hastanın estetik beklentileri karşılandı. Hasta düzenli kontrollere çağrıldı. 6 aylık takip sonucunda restorasyonlar; FDI kriterlerine göre estetik, biyolojik ve fonksiyonel açılardan 1 olarak skorlandı.

Keywords

• Diastema
• enjekte edilebilir
• eski restorasyon
• rezin kompozit

Esthetic Rehabilitation of Maxillary Lateral Incisors with Worn Restorations Using Injectable Resin Composites

Abstract

Maxillary lateral incisors, which often form in smaller dimensions than other teeth in the arch, are commonly linked to diastema formation. Such diastemas can affect patients esthetically, in speech and function. In this case, we aimed to restore maxillary lateral incisors using an injectable resin composite therapy to achieve a pleasing esthetic outcome. A 24-year-old healthy male patient presented to our clinic with discolored restorations on teeth #12 and #22. A digital impression was obtained using an intraoral scanner (CEREC OmniCam, Dentsply Sirona), followed by three-dimensional modeling in ExoCad. Subsequently, a model was produced with a 3D resin printer (Max X, Asiga). A transparent silicone index (Exaclear, GC) was fabricated on this model. After rubber dam isolation, the old restorations were removed, revealing diastemas on distal side of tooth #1.2 and on both sides of tooth #2.2. The enamel was etched with 37% phosphoric acid (Gel Etchant, Kerr). A universal adhesive (G-Premio, GC) was applied and light-cured. An injectable composite (G-ænial Universal Injectable, A1, GC) was delivered through the incisal openings of the index and polymerized from both the buccal and palatal sides. Interproximal excess was refined with a #12 scalpel blade, and finishing and polishing were performed using aluminum oxide–coated discs (OptiDisc, Kerr) and diamond-impregnated polishing spirals (DiaComp Plus Twist, Eve). The patient was satisfied with the final esthetic result, and at the six-month follow-up, the restorations were rated “1” for esthetics, biology, and function based on FDI criteria.

Keywords

• Diastema
• injectable
• worn restoration
• resin composite

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