Aesthetic restoration using composite resin in teeth with inactive carious lesions: a conservative and predictable approach

ABSTRACT The importance of correct diagnosis, planning and treatment of dental spots is extremely important during aesthetic rehabilitation. Aesthetic requirements have become increasingly common in current society, and direct composite resin restorations are indicated due to the great advancement and increasing improvements of adhesive systems and composite resins. This work presents the clinical case of an oral aesthetic rehabilitation involving direct composite resin veneers associated with dental bleaching. The patient CSM, female, 21 years old, without systemic diseases, attended the dental clinic of the Morgana Potrich Eirelli College (FAMP) complaining of the unsatisfactory aesthetic appearance of her teeth. After careful anamnesis and detailed intraoral and extraoral examination, we identified the presence of a white spot on the upper anterior teeth. The spot was smooth and shiny, did not have soft tissue, and was well delimited and located in the cervical region. These characteristics led to the diagnosis of inactive carious lesions in the facial surface of the upper anterior teeth. After the treatment planning and its approval by the patient, the treatment started. The composite resin veneers associated with dental bleaching were indicated for better aesthetic results. The results achieved were satisfactory and met the patient’s aesthetic requirements by means of a correct diagnosis, study, and adequate planning for the case.

摘要 在美学修复（aesthetic rehabilitation）过程中，牙齿斑点的正确诊断、规划与治疗至关重要。当前社会对美学的需求日益提升，而随着粘接系统（adhesive systems）与复合树脂（composite resins）技术的不断进步与完善，直接复合树脂修复（direct composite resin restorations）的临床应用愈发广泛。本文报告一例联合牙齿漂白（dental bleaching）与直接复合树脂贴面（direct composite resin veneers）的口腔美学修复临床病例。患者CSM为21岁女性，无全身性疾病，就诊于摩根娜·波特里奇·艾雷利学院（Morgana Potrich Eirelli College，简称FAMP）牙科诊所，主诉牙齿美学外观不佳。经细致的病史采集（anamnesis）与详细的口内、口外检查后，我们发现患者上前牙唇面存在一处白色斑点（white spot）：该斑点光滑发亮，无软组织附着，边界清晰且位于牙颈部（cervical region）。结合上述临床特征，我们诊断为上前牙唇面静止性龋损（inactive carious lesions）。在制定治疗方案并获得患者知情同意后，我们启动了治疗流程。为达成更佳美学效果，我们选用了复合树脂贴面联合牙齿漂白的治疗策略。最终治疗效果令人满意，通过对该病例的精准诊断、细致研究与合理规划，完全满足了患者的美学诉求。