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
在口腔美学修复流程中，牙斑（dental spot）的精准诊断、方案规划与治疗至关重要。当前社会对口腔美学效果的需求与日俱增，而随着粘接系统（adhesive systems）与复合树脂材料的持续精进完善，直接复合树脂修复（direct composite resin restorations）已成为临床广泛应用的治疗手段。本研究报道一例联合牙齿漂白（dental bleaching）技术的直接复合树脂贴面口腔美学修复病例。

患者CSM，女性，21岁，无系统性疾病，就诊于Morgana Potrich Eirelli学院（FAMP）口腔诊所，主诉为牙齿美学外观欠佳。经严谨的病史采集（anamnesis）与细致的口内、口外检查后，我们于患者上前牙唇面发现一处牙白斑（white spot）：该病损表面光滑发亮，无软组织覆盖，边界清晰且位于牙颈部区域。结合上述特征，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，治疗正式启动。为实现更理想的美学效果，临床选择采用复合树脂贴面联合牙齿漂白的治疗方案。

最终治疗效果令人满意，通过对该病例的精准诊断、全面评估与充分规划，成功满足了患者的美学诉求。