Publication: Digitally Guided Composite Restorations After Orthodontic Treatment: A Case Report
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Date
2023-07-03
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Abstract
Introduction: Orthodontic treatment can improve dental aesthetics and function, but it can also lead to dental problems,
such as interproximal caries and tooth fractures. This case report presented the dental treatment of a 25-year-old female
patient who had previously undergone a fixed orthodontic treatment for five years and resorted to Marmara University
Department of Restorative Dentistry due to aesthetic concerns. The patient complained about interproximal caries and a
fracture of the right maxillary lateral incisor, which negatively impacted her dental aesthetics and function. After a thorough
clinical and radiographic examination, a treatment plan which included composite restorations for the interproximal caries
and the fractured lateral incisor was created.
Case Report: In the first session office bleaching was performed with 32% hydrogen peroxide gel (Fläsh; WHITEsmile,
3×15 minutes). Before starting the restorative treatment, palatal wall was designed using a software (Meshmixer,
Autodesk). The software allowed for a virtual simulation of the desired palatal walls, which was then final guide model
produced using a DLP 3D printer (Photon Ultra, Anycubic). Two weeks after bleaching, composite resin restorations were
completed with body shade composite (Estelite Asteria A1B, Tokuyama Dental) under rubber-dam isolation. Universal
adhesive (Bond Force II, Tokuyama Dental) was preferred and polymerization was completed with 1000 mW/cm2
lightcuring unit (Valo Grand, Ultradent). Finishing and polishing procedures was carried out using composite polisher (Lamello,
Horico Dental). Follow-up sessions were conducted at 1 week, 1 month, and 6 months and evaluated for World Dental
Federation (FDI) 2-steps criteria.
Results: The clinical performance of the treated teeth evaluated for aesthetic properties, surface texture/staining, colour
stability/translucency and anatomic form according to FDI criteria and scored as 1.
Conclusion: The successful outcome of this case demonstrates the effectiveness of composite resin restorations for
addressing functional, aesthetic, and satisfactory concerns. The use of modern technology, including digital design and 3D
printing, allowed for improved accuracy and customization, resulting in a natural-looking and durable restoration.
Keywords: 3D Printing, Composite Resin Restoration, Dental Caries, Dental Models, Digital Design
Description
Keywords
3D Printing, Composite Resin Restoration, Dental Caries, Dental Models, Digital Design
Citation
OĞRAK İ. H., BİLGİN GÖÇMEN G., DOĞU KAYA B., \"Digitally Guided Composite Restorations After Orthodontic Treatment: A Case Report\", 7th IAD International Congress on Adhesive Dentistry, Konya, Türkiye, 01 Haziran 2023, ss.140