Restauración estética sin soporte metálico por vía directa como alternativa en el cierre de diastemas generalizados
<p><strong>Introducción: </strong>La restauración estética sin substrato metálico en el sector anterior se puede efectuar por método directo. La misma logra alcanzar un aspecto más natural que las restauraciones indirectas y resistir las cargas oclusales de igual modo, lo que...
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Universidad de Ciencias Médicas de La Habana,
2015-10-01T00:00:00Z.
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| Streszczenie: | <p><strong>Introducción: </strong>La restauración estética sin substrato metálico en el sector anterior se puede efectuar por método directo. La misma logra alcanzar un aspecto más natural que las restauraciones indirectas y resistir las cargas oclusales de igual modo, lo que posibilita no solo reconstruir dientes sino transformarlos. Esto hace ideal el procedimiento para el cierre de diastemas generalizados, los cuales habitualmente son resueltos a través de atención secundaria de prótesis u ortodoncia, soluciones de alto costo y suponen mayor incomodidad al paciente. <strong>Objetivo:</strong> Describir el procedimiento de restauración estética sin soporte metálico por vía directa con nanocomposite, como alternativa terapéutica para el cierre de diastemas generalizados. <strong>Presentación del caso:</strong> Se describe el tratamiento impuesto a un paciente de 53 años con antecedentes de traumatismo dentario con avulsión del 22 y fracturas complicadas de corona en 12, 11 y 21 hace alrededor de 15 años, por lo que recibió tratamientos pulporadiculares radicales. El paciente presentaba cambios de coloración severa, además de la presencia de diastemas generalizados en el sector anterior maxilar, para lo cual se le realizó tratamiento restaurador integral por vía directa y se seleccionó nanocomposite híbrido. <strong>Conclusiones: </strong>El tratamiento cosmético con nanocomposite sin sustrato metálico es una alternativa terapéutica viable en el cierre del diastema generalizado por vía directa, aun en pacientes con traumatismos severos, en dientes discrómicos con tratamiento pulporadicular radical.<strong> <br /></strong></p><p class="Default"><strong>Palabras clave: </strong>Cierre de diastemas generalizados, cosmética dental, nanocomposite para muñones adhesivos, estética dental, resina compuesta dental.</p><p><strong> </strong></p><p><strong>ABSTRACT</strong></p><p><strong>Introduction: </strong>The aesthetic restoration without metallic substratum in the anterior sector can be performed through direct method. It allows to reach a more natural aspect that the indirect restorations and to resist the occlusal loads in the same way, making possible not only to reconstruct teeth but to transform them, which makes ideal this procedure in the closing of widespread diastema those which are habitually resolved through secondary attention of prosthodontics or orthodontics, solutions of high cost and greater annoyance to the patient. <strong>Objective</strong>: To describe the procedure of aesthetic restoration without metallic support through direct method with nanocomposite as therapeutic alternative for the closure of widespread diastema. <strong>Case presentation:</strong> It is described the treatment imposed to a 53 year-old patient with antecedents of dental trauma with extraction of the 22 and complicated crown fractures in 12, 11 and 21 around 15 years ago, for which he received radical pulp-radicular treatments. The patient presented changes of severe coloration, besides the generalized diastema presence in the maxillary anterior sector, for which an integral restoration treatment through direct method was carried out by using a hybrid nanocomposite. <strong>Conclusions</strong>: The cosmetic treatment with nanocomposite without metallic substratum is a viable therapeutic alternative in the closing of the generalized diastema through direct method, even in patients with severe traumatized, dyschromia teeth with a radical pulp-radicular treatment.</p><p><strong>Key words: </strong>Closure of generalized diastema, dental cosmetics, nanocomposites for stumps adhesives, dental esthetics, permanent dental restoration.</p><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML /> <o:AllowPNG /> </o:OfficeDocumentSettings> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> 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