Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report
Gingival recession causes not only aesthetic problems, but problems with oral hygiene, plaque accumulation, speech, and tooth sensitivity. Replacing the missing gingival tissue with composite resin, when indicated, can be a time- and cost-effective solution. Here we report the case of a 25-year-old...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2013-04-01
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| Series: | Saudi Dental Journal |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1013905213000059 |
| _version_ | 1818129137828626432 |
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| author | M.A. Wahbi H.S. Al Sharief H. Tayeb A. Bokhari |
| author_facet | M.A. Wahbi H.S. Al Sharief H. Tayeb A. Bokhari |
| author_sort | M.A. Wahbi |
| collection | DOAJ |
| description | Gingival recession causes not only aesthetic problems, but problems with oral hygiene, plaque accumulation, speech, and tooth sensitivity. Replacing the missing gingival tissue with composite resin, when indicated, can be a time- and cost-effective solution. Here we report the case of a 25-year-old female who presented with generalized gingival recession. Black triangles were present between the maxillary and mandibular anterior teeth due to loss of interdental tissues, caused by recent periodontal surgery. She also had slightly malposed maxillary anterior teeth. The patient elected to replace gingival tissue with pink composite resin and to alter the midline with composite resin veneers. The first treatment phase involved placement of pink gingival composite to restore the appearance of interdental papilla to her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) and lower (34, 33, 32, 31, 41, 42, 43, and 44) teeth. Phase two was to place direct composite resin bonded veneers on her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) teeth to alter the midline and achieve desired colour. The third treatment phase was to level the lower incisal edge shape by enameloplasty (31, 32, 41, and 42) to produce a more youthful and attractive smile. This case report and brief review attempt to describe the clinical obstacles and the current treatment options along with a suggested protocol. Use of contemporary materials such as gingival coloured composite to restore lost gingival tissue and improve aesthetics can be a simple and cost-effective way to manage patients affected by generalized aggressive periodontitis (AgP). Keywords: Minimally invasive aesthetics coloured composite resin, Pink and white composite resin veneers, Open gingival embrasure, Gingival coloured composite resin |
| first_indexed | 2024-12-11T07:44:22Z |
| format | Article |
| id | doaj.art-c4087b6b39544ff3ba5d705bbe5db020 |
| institution | Directory Open Access Journal |
| issn | 1013-9052 |
| language | English |
| last_indexed | 2024-12-11T07:44:22Z |
| publishDate | 2013-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Saudi Dental Journal |
| spelling | doaj.art-c4087b6b39544ff3ba5d705bbe5db0202022-12-22T01:15:28ZengElsevierSaudi Dental Journal1013-90522013-04-012528389Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case reportM.A. Wahbi0H.S. Al Sharief1H. Tayeb2A. Bokhari3Conservative Dentistry, Makkah Dental Centre, P.O. Box 3381, Makkah, Saudi Arabia; Corresponding author. Tel./fax: +966 2 5270440.Makkah Dental Centre, P.O. Box 6152, Makkah 21955, Saudi ArabiaMakkah Dental Centre, P.O. Box 6152, Makkah 21955, Saudi ArabiaMakkah Dental Centre, P.O. Box 6152, Makkah 21955, Saudi ArabiaGingival recession causes not only aesthetic problems, but problems with oral hygiene, plaque accumulation, speech, and tooth sensitivity. Replacing the missing gingival tissue with composite resin, when indicated, can be a time- and cost-effective solution. Here we report the case of a 25-year-old female who presented with generalized gingival recession. Black triangles were present between the maxillary and mandibular anterior teeth due to loss of interdental tissues, caused by recent periodontal surgery. She also had slightly malposed maxillary anterior teeth. The patient elected to replace gingival tissue with pink composite resin and to alter the midline with composite resin veneers. The first treatment phase involved placement of pink gingival composite to restore the appearance of interdental papilla to her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) and lower (34, 33, 32, 31, 41, 42, 43, and 44) teeth. Phase two was to place direct composite resin bonded veneers on her upper (16, 15, 14, 13, 12, 11, 21, 22, 23, and 24) teeth to alter the midline and achieve desired colour. The third treatment phase was to level the lower incisal edge shape by enameloplasty (31, 32, 41, and 42) to produce a more youthful and attractive smile. This case report and brief review attempt to describe the clinical obstacles and the current treatment options along with a suggested protocol. Use of contemporary materials such as gingival coloured composite to restore lost gingival tissue and improve aesthetics can be a simple and cost-effective way to manage patients affected by generalized aggressive periodontitis (AgP). Keywords: Minimally invasive aesthetics coloured composite resin, Pink and white composite resin veneers, Open gingival embrasure, Gingival coloured composite resinhttp://www.sciencedirect.com/science/article/pii/S1013905213000059 |
| spellingShingle | M.A. Wahbi H.S. Al Sharief H. Tayeb A. Bokhari Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report Saudi Dental Journal |
| title | Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report |
| title_full | Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report |
| title_fullStr | Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report |
| title_full_unstemmed | Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report |
| title_short | Minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth: Case report |
| title_sort | minimally invasive use of coloured composite resin in aesthetic restoration of periodontially involved teeth case report |
| url | http://www.sciencedirect.com/science/article/pii/S1013905213000059 |
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