Aesthetic rehabilitation of conoid teeth: case report
DOI:
https://doi.org/10.70614/96254898Keywords:
Oral Rehabilitation, Dental Aesthetics, Composite resinAbstract
As aesthetics advance in modern dentistry, people's expectations of their smiles become ever higher. Microdontia or conoid tooth, which refers to teeth smaller than normal, is one of the abnormalities that causes major aesthetic complaints due to its characteristics. Conoid teeth have a prevalence of 0.6 to 9.9%, with conical upper lateral teeth affecting approximately 55,000 people, with women being more susceptible than men. Many factors must be considered when restoring anterior teeth, depending on patient expectations and dental practice. The direct composite resin technique has stood out for providing aesthetic benefits, preserving tooth structure, being performed in a single consultation, being cheaper and not requiring any laboratory process. The objective of this study was to report a clinical case of aesthetic rehabilitation in a conoid tooth in the upper left lateral incisor with composite resin restoration using the direct technique. Clinical planning is essential for choosing the technique and restorative material to be used. Despite the various techniques proposed for the treatment of conoid lateral incisors, the aesthetic reanatomization with a direct veneer of composite resin, with diagnostic waxing, used in this study, was effective and inexpensive, allowing a minimally invasive treatment and possible posterior adjustments, enabling the restoration of self-esteem and the harmony of the patient's smile.
Downloads
References
1. Pena CE, Viotti RG, Dias WR, Santucci E, Rodrigues JA, Reis AF. Esthetic rehabilitation of anterior conoid teeth: comprehensive approach for improved and predictable results. Eur J Esthet Dent. 2009;4(3):210–24.
2. Aragão AC, Pepino JC, Barbosa IF, Câmara JVC, Campos PRB, Castro GFB. Reanatomization of conoid theeth in a patient with epilepsy: a case report. Res Soc Dev. 2020;9(11):1–10.
3. Sena JF, Araújo RR, Martinho PVA. Treatment options for conoid teeth: a literature review. Int J Adv Eng Res Sci. 2021;8(12).
4. Wang Y, Li J, Chen D, Li L. Analysis of cosmetic effect of nanocomposite resin on anterior teeth. Comput Math Methods Med. 2021;2021.
5. Lobato MF, Sbardelotto C, Isaac SZ, Hilger LA. Reanatomização de dente conóide com resina composta por meio de técnica de aplicação simplificada. Rev Nav Odontol. 2019;46(1):31–6.
6. Yuan JX, Yang KY, Ma J, Wang ZZ, Guo QY, Liu F. Step-by-step teaching method: improving learning outcomes of undergraduate dental students in layering techniques for direct composite resin restorations. BMC Med Educ. 2020 Sep 11;20(1).
7. Souza LS, Donato TR, Cerqueira GA, Cavalcanti AN, Mathias P. Color stability of an artificially aged nanofilled composite resin post-cured with different techniques. J Dent Res Dent Clin Dent Prospects. 2021;15(1):53.
8. Mohan KR, Thangavelu RP, Fenn SM. Bilateral inverted mesiodens: a rare case evaluated by cone-beam computed tomography. Cureus. 2022 Jul 7;14(7).
9. Alarcón J, Guzmán J, Masuko TS, Cáceres PN, Fuentes R. Non-syndromic familial mesiodens: presentation of three cases. Diagnostics. 2022 Aug 1;12(8).
10. Barham M, Okada S, Hisatomi M, Khasawneh A, Tekiki N, Takeshita Y, et al. Influence of mesiodens on adjacent teeth and the timing of its safe removal. Imaging Sci Dent. 2022;52(1):67.
11. Dionysopoulos D, Gerasimidou O. Wear of contemporary dental composite resin restorations: a literature review. Restor Dent Endod. 2021;46(2).
12. Valizadeh-Haghi H, Molaee S, Kamran A, Davoodzadeh S. Masking ability of bleach shade composite resins in different thicknesses. Int J Dent. 2022;2022.
13. Gwon B, Bae E Bin, Lee JJ, Cho WT, Bae HY, Choi JW, et al. Wear characteristics of dental ceramic CAD/CAM materials opposing various dental composite resins. Materials (Basel). 2019 Jun 1;12(11).
14. Jaramillo-Cartagena R, López-Galeano EJ, Latorre-Correa F, Agudelo-Suárez AA. Effect of polishing systems on the surface roughness of nano-hybrid and nano-filling composite resins: a systematic review. Dent J. 2021 Aug 1;9(8).
15. Lee MJ, Seo Y Bin, Seo JY, Ryu JH, Ahn HJ, Kim KM, et al. Development of a bioactive flowable resin composite containing a zinc-doped phosphate-based glass. Nanomaterials. 2020 Nov 1;10(11):1–12.
16. Zhang X, Zhang Q, Meng X, Ye Y, Feng D, Xue J, et al. Rheological and mechanical properties of resin-based materials applied in dental restorations. Polymers (Basel). 2021 Sep 1;13(17).
17. Martinez-Ccahuana L, Álvarez-Vidigal E, Arriola-Guillén E, Aguilar-Gálvez D. Effect of pediatric mouthwashes on the color stability of dental restorations with composite resins. In vitro comparative study. J Clin Exp Dent. 2022;14(11):e897.
18. Worthington H V., Khangura S, Seal K, Mierzwinski-Urban M, Veitz-Keenan A, Sahrmann P, et al. Direct composite resin fillings versus amalgam fillings for permanent posterior teeth. Cochrane Database Syst Rev. 2021 Aug 13;2021(8).
19. Guarnieri FDF, Briso ALF, Ramos FDSES, Esteves LMB, Omoto ÉM, Sundfeld RH, et al. Use of auxiliary devices during retreatment of direct resin composite veneers. PLoS One. 2021 Jun 1;16(6).
20. Shah Y, Shiraguppi V, Deosarkar B, Shelke U. Long-term survival and reasons for failure in direct anterior composite restorations: A systematic review. J Conserv Dent. 2021 Sep 1;24(5):415.
21. Elfadil S, Nassar HI, Elbeshbeishy RA, Annamma LM. Esthetic Rehabilitation of Pediatric Patients Using Direct Bonding Technique-A Case Series Report. Child (Basel, Switzerland) [Internet]. 2023 Mar 13 [cited 2023 Jun 5];10(3):546. Available from: https://pubmed.ncbi.nlm.nih.gov/36980104/
22. Fahl N, Ritter A V. Composite veneers: The direct-indirect technique revisited. J Esthet Restor Dent. 2021 Jan 1;33(1):7–19.
23. Araujo E, Perdigão J. Anterior Veneer Restorations - An Evidence-based Minimal-Intervention Perspective. J Adhes Dent. 2021 Apr 7;23(2):91–110.
24. Omeish N, Nassif A, Feghali S, Vi‐Fane B, Bosco J. Esthetic and functional rehabilitation of peg‐shaped maxillary lateral incisors: Practical recommendations. Clin Case Reports. 2022 Mar;10(3).
25. Lekhwani PS, Marwah N, Sharma Y, Yadav P. A rare occurrence of nonsyndromic focal microdontia of primary teeth with hypodontia of permanent teeth in a pediatric patient. J Oral Maxillofac Pathol. 2022 Feb 1;26(Suppl 1):S22.
26. Limothai P, Leevailoj C. Esthetic treatment of anterior spacings in a patient with localized microdontia using no-prep veneers combined with periodontal surgery: a clinical report. Dent J [Internet]. 2019;39(2):115–25. Available from: http://www.dt.mahidol.ac.th/division/th_Academic_Journal_Unit
27. Chen Y, Zhou F, Peng Y, Chen L, Wang Y. Non-syndromic occurrence of true generalized microdontia with hypodontia: A case report. Med (United States). 2019;98(26).
28. Haak R, Siegner J, Ziebolz D, Blunck U, Fischer S, Hajtó J, et al. OCT evaluation of the internal adaptation of ceramic veneers depending on preparation design and ceramic thickness. Dent Mater. 2021 Mar 1;37(3):423–31.
29. Laverty DP, Thomas MBM. The restorative management of microdontia. Br Dent J. 2016 Aug 26;221(4):160–6.
30. Miyoshi C, Rached R, Meira T, Allahham A, Saga A, Tanaka O. The eye-tracking study of the impact of the gingival margin height of maxillary lateral incisors. Int J Periodontics Restorative Dent. 2020 Mar;40(2):261–70.
31. Ningsih JR, Asih R, Putri RMK. Restorasi mahkota jaket resin komposit pada gigi insisivus lateralis maksila yang mengalami mikrodonsia. J Med Heal. 2021 Feb 27;3(1):61–72.
32. Brito JAO de, Ferreira V da S, Yamashita RK. Indicações e longevidade das facetas de resina composta: revisão de literatura. Res Soc Dev. 2022;11(13):e467111335738.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Revista Clínica de Odontologia
This work is licensed under a Creative Commons Attribution 4.0 International License.