背景:前牙的结构异常或异常,也被称为美学区,对患者来说是一个重要的问题,对牙医来说也是一个挑战。结构异常或牙齿异常可以改变颜色,形状,和功能。大多数牙医更喜欢微创美容治疗。前牙的美容治疗选择之一是贴面。贴面是一种修复体,用一层薄薄的材料覆盖牙齿的唇部分,以纠正颜色的异常,形状,或牙齿的功能。贴面修复可以用实验室制造的瓷材料间接完成,直接用牙齿表面的复合材料或从工厂获得的预制材料完成。Componeer是一种预制复合贴面,结合了陶瓷贴面的美学特性和复合贴面对牙齿结构的粘附能力。此病例报告描述了使用组件在两个侧切牙上填充有复合材料和钉形的两个中切牙的治疗方法。
方法:一名32岁的女性患者来到牙科医院的牙科保护诊所,Padjadjaran大学主要抱怨她的左右上前牙,并希望修复她的旧填充物,并关闭她的左右上前牙与犬齿之间的间隙。临床检查显示,11号和21号牙齿填充了复合材料,该复合材料颜色发生了变化,形状不和谐,右侧和左侧的上门牙与左右犬齿之间存在间隙。
方法:将上颌牙和下颌牙成型为研究模型和工作模型。在工作模型中,进行打蜡,然后是病人牙齿上的模型。接下来,选择与模型结果匹配的组件的颜色和大小。11号和21号牙齿的旧复合填充物被清洗干净,并用牙本质色复合填充物重新填充,制备最小厚度为0.3mm的齿13、12、11、21、22和23,以便为部件材料腾出空间。牙齿被蚀刻和粘合,并将粘合应用于组件的内表面。将复合材料放置在组件的内表面上,然后放置在牙齿的唇表面上,并用专用工具压制,然后光固化。最后一步是抛光。
■牙齿13、12、11、21、22和23经过使用组件的单板处理,治疗1周后均得到控制。患者没有抱怨治疗结果,并表示对治疗感到满意。
BACKGROUND: Structural abnormalities or anomalies in the anterior teeth, also known as the aesthetic zone, are an important problem for patients and a challenge for dentists. Structural abnormalities or tooth anomalies can change in color, shape, and function. Most dentists prefer minimally invasive aesthetic treatment. One of the aesthetic treatment options for anterior teeth is veneers. Veneer is a restoration that covers the labial part of the tooth with a thin layer of material to correct abnormalities in the color, shape, or function of the tooth. Veneer restoration can be done indirectly with porcelain material made in a laboratory and directly with composite material on the tooth surface or prefabricated which is available from the factory. Componeer is a prefabricated composite veneer that combines the aesthetic properties of ceramic veneers and the adhesive ability of composite veneers to the tooth structure. This
case report describes the treatment of two central incisors that had been filled with composite and peg shapes on both lateral incisors using a componeer.
METHODS: A 32-year-old female patient came to the Dental Conservation Clinic at Dentistry Hospital, Padjadjaran University with the main complaint of her right and left upper front teeth and wanted to repair her old fillings and close the gap between her right and left upper front teeth and her canine teeth. Clinical examination showed that teeth 11 and 21 had been filled with composite which had changed color and had an inharmonious shape as well as a gap between the upper front teeth on the right and left sides and the right and left canine teeth.
METHODS: The maxilla and mandibular teeth are molded for study models and working models. In the working model, a wax-up is carried out, then a mock-up on the patient\'s teeth. Next, choose the color and size of the components that match the mock up results. Teeth 11 and 21 had their old composite fillings cleaned and refilled with dentin colored composite, teeth 13, 12, 11, 21, 22, and 23 were prepared with a minimum thickness of 0.3 mm to make room for the componeer material. The teeth was etched and bonded, and bonding was applied to the inner surface of the componeer. The composite is placed on the inner surface of the componeer then placed on the labial surface of the tooth and pressed with a special tool, then light cured. The final step is polishing.
UNASSIGNED: Teeth 13, 12, 11, 21, 22, and 23 which had undergone veneer treatment using componeer, were controlled after 1 week of treatment. The patient did not complain about the results of the treatment and said he was satisfied with the treatment.