Direct Composite Laminates from Canine to Lateral Incisor: Long-Term Follow-Up

Öz

The aim of this case report is to present the morphological transformation of a maxillary 23 No left canine into a lateral incisor using a direct composite laminate technique in a case with a missing maxillary left 22 no lateral incisor and to evaluate the long-term clinical success of the restoration over a 15-year follow-up period. In this case involving the agenesis of 22 no tooth, 23 no the canine tooth located in the lateral position was recontoured to mimic a lateral incisor using a direct composite resin technique without laboratory procedures. The 15-year clinical follow-up revealed that the restoration remained intact and continued to function with satisfactory aesthetics and structural integrity. Conclusion: Direct composite laminate restorations used for canine-to-lateral transformation exhibit high durability and longevity in addition to natural aesthetics. Considering the advantages regarding labor, time management, and cost-effectiveness, it can be concluded that direct composite laminates represent a valuable treatment option for both dentists and patients.

Anahtar Kelimeler

• Composite laminate;
• Direct technique;
• Naturaş aesthetic;
• Longterm follow up;

Doğrudan Teknik Kompozit Lamina ile Kaninden Laterale Dönüşüm ve Uzun Dönem Takip

Öz

Bu vaka raporunun amacı; sol üst lateral diş (22 numara) eksikliğinde, lateral diş pozisyonunda yer alan kanin dişin (23 numara), direkt teknik kompozit lamina uygulaması ile lateral kesici diş formuna dönüştürülmesini ve bu restorasyonun 15 yıllık uzun dönem klinik başarısını sunmaktır. 22 numaralı diş eksikliği bulunan olguda, 23 numaralı kanin diş, laboratuvar aşaması gerektirmeyen direkt kompozit lamina tekniği ile restore edilerek lateral diş morfolojisine kavuşturulmuştur. Tedaviden 15 yıl sonra yapılan değerlendirmede, restorasyonun halen yapısal bütünlüğünü koruduğu, fonksiyonel ve estetik olarak hizmet etmeye devam ettiği gözlemlenmiştir. Sonuç: Kanin dişin lateral dişe transformasyonunda kullanılan direkt kompozit lamina restorasyonlar; sağladıkları doğal estetik görünümün yanı sıra yüksek dayanıklılık ve uzun ömürlülük sergilemektedir. Emek, zaman ve maliyet etkinliği açısından sunduğu avantajlar göz önüne alındığında, direkt kompozit laminaların hem diş hekimleri hem de hastalar için değerli bir tedavi seçeneği olduğu sonucuna varılmıştır.

Anahtar Kelimeler

• Kompozit lamina;
• Direkt teknik;
• Doğal estetik;
• Uzun önem takip;

Kaynakça

1. 1-Demarco FF, Collares K, Correa MB, Cenci MS, Moraes RR, Opdam NJ. Clinical performance of direct anterior composite restorations: A systematic review and meta-analysis. Dent Mater. 2024;40(1):45-56.
2. 2-Ye Z, Jiang J, Yang L, Xu T, Lin Y, Luo F. Survival rates and complications of porcelain laminate veneers: A systematic review and meta-analysis. BMC Oral Health. 2023;23(1):387.
3. 3-Szczesio-Wlodarczyk A, Sokolowski J, Kleczewska J, Bociong K. Ageing of dental composites based on methacrylate resins: A critical review of the causes and effects of degradation. Polymers. 2023;15(18):3807.
4. 4-Durand LB, Ruiz-López J, Perez BG, Ionescu AM, Carrillo-Pérez F, Ghinea R. Color adjustment potential of resin composites: A systematic review and meta-analysis. J Dent. 2023;136:104626.
5. 5-Pillai A, Thomas S, Varghese J, Kappa S. Accuracy of digital versus conventional diagnostic wax-up: A systematic review. J Prosthet Dent. 2023;130(4):501-508.
6. 6-Al-Akhali M, Chaar MS, El-Sharkawy A, Al-Meraikhi H, Al-Akhali A. Survival and technical complications of direct composite vs indirect ceramic veneers: A systematic review and meta-analysis. J Dent. 2024;142:104860.
7. 7- Catelan A, Guedes APA, da Silva AP, Santos PH, Aguiar FHB. Esthetic rehabilitation of anterior teeth with direct composite veneers. Clin Cosmet Investig Dent. 2023;15:29-36.
8. 8- Villavicencio-Espinoza CA, Narimatsu MH, Furuse AY. Esthetic rehabilitation of anterior teeth with direct composite veneers using a polychromatic layering technique. Gen Dent. 2023;71(1):60-65.

9. 9- Lopes LS, Calazans FS, Araujo LL, Moreira AN, Magalhaes CS. The influence of finishing and polishing techniques on the surface roughness and marginal integrity of resin composite restorations: A systematic review. J Prosthet Dent. 2023;129(5):704-713.
10. 10- Shatat F. Postoperative sensitivity in dental composite restorations: Causes and management strategies. Int J Dent. 2023;2023:4629654.
11. 11- da Silva TM, Salgado VEA, Nairne B, Ishikiriama SK, Santiago SL. Surface roughness and gloss of nanocomposites after different finishing and polishing protocols. J Esthet Restor Dent. 2023;35(5):812-820.
12. 12- Panahandeh N, Torabzadeh H, Ghasemi A, Mahdian M, Akbarzadeh Baghban A. Repair bond strength of resin composites: A systematic review and meta-analysis of surface treatments. J Esthet Restor Dent. 2023;35(4):625-638.
13. 13- Fahl, N., Jr. (2006). A polychromatic composite layering approach for solving a complex Class IV/canine-to-lateral incisor conversion registry. Practical Procedures & Aesthetic Dentistry, 18(10), 641–645.
14. 14- Ardu, S., & Krejci, I. (2006). Biomimetic direct composite stratifications for the restoration of anterior teeth. Quintessence International, 37(3), 167–174.
15. 15- Ardu, S., & Krejci, I. (2017). A minimally invasive conditioning of the tooth surface for direct composite veneers. Journal of Adhesive Dentistry, 19(5), 455-458.