Maxillary Anterior Esthetic Rehabilitation of Twin Patients Following Orthodontic Treatment - Case Reports

Year 2024, Volume: 6 Issue: 2, 241 - 249, 30.08.2024

Cansu Atalay , Esra Ergin

https://doi.org/10.51122/neudentj.2024.108

Abstract

Aim: These case reports detail the treatment of multiple diastemas, peg-shaped lateral incisors and gingival asymmetries in the maxillary anterior areas of twin patients.
Case Report: Two 21-year-old female twin patients (D.C.&T.C) visited our clinic to address their concern about gaps between maxillary anterior teeth. The teeth were vital and the surrounding tissues were healthy. In all cases, gingivectomy were performed using a 940 nm diode laser. Following a 14-day recovery time, the patient had diastema closure (D.C) and peg-shaped lateral incisors shaping (T.C) treatments. After choosing the shade, teeth were isolated using a rubber dam, no preparations were performed. G2-Bond Universal adhesive (GC) and a universal resin composite (G-aenial ACHORD, GC) were applied for restorative procedure and polymerized using an LED device for 20s. Subsequently, the macro and micro surface morphologies on the buccal surfaces were created and any occlusal interferences were checked. The restorations underwent polishing using polishing discs, silicone rubber polishers, and polishing strips. The patients were motivated to maintain dental hygiene and were told about the need for follow-up appointments.
Results: Following the restorative procedures, the patients expressed contentment with their physical appearances. During the 24-month follow-up, there were no signs of discoloration or chipping on the restorations, and the gingival contours were found to be satisfactory.
Conclusion: The utilization of laser aided gingivectomy in conjunction with direct composite resin make-ups resulted in the achievement of a balanced and aesthetically pleasing alignment of the teeth. Moreover, it is a prudent strategy for adolescent patients who have finished orthodontic treatment.

Keywords

Diastema closure, Peg-shaped lateral, Anterior esthetic, Resin composite

İkiz Hastalarda Ortodontik Tedavi Sonrası Üst Anterior Dişlerin Estetik Rehabilitasyonu - Olgu Raporları

Abstract

Amaç: Bu olgu raporları, ikiz hastaların maksiller ön bölgelerindeki çoklu diastemaların, kama şekilli yan kesici dişlerin ve diş eti asimetrilerinin tedavisini detaylandırmaktadır.
Olgu Raporu: 21 yaşında iki kadın ikiz hasta (D.C.&T.C), üst ön dişler arasındaki boşluklarla ilgili endişelerini gidermek için kliniğimizi ziyaret etti. Dişler canlıydı ve çevre dokular sağlıklıydı. Tüm vakalarda, gingivektomi 940 nm diyot lazer kullanılarak yapıldı. 14 günlük iyileşme sürecinin ardından hastaya diastema kapama (D.C) ve kama şekilli lateral diş şekillendirme (T.C) tedavileri uygulandı. Renk seçiminin ardından dişler bir lastik örtü kullanılarak izole edildi ve herhangi bir preparasyon yapılmadı. Restoratif prosedür için G2-Bond Üniversal adeziv (GC) ve üniversal kompozit rezin (G-aenial ACHORD, GC) uygulandı ve bir LED cihazı kullanılarak 20 saniye süresince polimerize edildi. Daha sonra bukkal yüzeylerdeki makro ve mikro yüzey morfolojileri oluşturuldu ve okluzal temaslar kontrol edildi. Restorasyonlara polisaj diskleri, silikon kauçuk lastikler ve kompozit zımparaları kullanılarak polisaj uygulandı. Hastalar oral hijyenlerini koruma konusunda motive edildi ve takip randevularının gerekliliği anlatıldı.
Bulgular: Restoratif prosedürlerin ardından hastalar fiziksel görünümlerinden memnun olduklarını ifade ettiler. 24 aylık takipte restorasyonlarda herhangi bir renk değişikliği veya kopma görülmedi ve diş eti konturlarının tatmin edici olduğu görüldü.
Sonuç: Lazer destekli gingivektominin direkt kompozit rezin restorasyonlar ile birlikte uygulanması, dişlerde estetik açıdan hoş bir dizilimin elde edilmesiyle sonuçlandı. Bu kombine tedavi şekli, ortodontik tedavisi henüz sonlanmış ergen hastalar için de ideal bir stratejidir.

Keywords

Diastema kapama, Kama şekilli lateral, Anterior estetik, Kompozit rezin

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