Artigo: Como realizar uma reabilitação oral complexa em etapas de acordo com o fluxo financeiro conveniente para os pacientes, proporcionando, já na primeira etapa: saúde, função e estética - Estética | JCDR 2017 v14n4 - Clinical Dentistry

Estética | JCDR 2017 v14n4

Estética | JCDR 2017 v14n4


Como realizar uma reabilitação oral complexa em etapas de acordo com o fluxo financeiro conveniente para os pacientes, proporcionando, já na primeira etapa: saúde, função e estética

Clinical Approach

Autores: José Arbex Filho, Andrea Murta Lott MontAlverne, Flavia Pedrosa Vieira De Melo, Ana Paula De Paiva Gontijo, 

Intra-oral scanner: The time has come to invest in one?
Intra-oral scanner: The time has come to invest in one?

This is one of the most frequent questions I have been asked in recent months. Not just me, but many professionals both in the clinical and laboratorial area, as well as in companies in the field. Obviously, it has not a simple answer. First, it involves the verb “to invest”. The decision to buy something that brings some kind of benefit is always an individual attitude, which involves a number of variables. Among them are financial availability and often the uncertainty of doing a good...

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Calcific metamorphosis of the pulp is not pulp calcification
Calcific metamorphosis of the pulp is not pulp calcification

Abstract: Dysplastic dentin deposited in pulp spaces by cells transformed into odontoblasts to survive a concussion-type dental trauma should not be called calcification or pulp mineralization, but metaplasia or calcific metamorphosis of the pulp. Fibrosing and pulpal hyalinization, followed by the deposition of minerals on hyalinized collagen areas in fibrous pulps, are part of early pulp aging caused by the inappropriate use of the teeth, such as in the severe attrition, abrasion, caries...

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A low cost treatment
A low cost treatment

Composite resins are the lowest cost option when thinking about techniques for the esthetic treatment of teeth. This characteristic, however, is little commented, but, from my point of view, taking into account daily practice in an office, cost can be decisive at the time of closing the treatment. In this column, we will throw our spotlight precisely on the low cost of the treatments with composite resins. It is known that technology in the evolution of materials and equipment popularized...

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How to perform a complex oral rehabilitation in stages according to the convenient financial flow for the patients, providing, in the first stage: health, function and aesthetics
How to perform a complex oral rehabilitation in stages according to the convenient financial flow for the patients, providing, in the first stage: health, function and aesthetics

INTRODUCTION For each patient we treat, it is necessary to analyze individually the current moment of their lives, their main complaints and what investment they can make at that moment. Many times, there should be means for the patient to be treated in a segmented way. In this type of situation, we often have to carry out a planning in stages, provided that, at a first step of the rehabilitation planning, we manage to remove the occlusal discomfort, improving the basic symptoms of oral and...

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Digital planning associated with periodontal surgery for aesthetic resolution
Digital planning associated with periodontal surgery for aesthetic resolution

Introduction: The Digital Smile Design (DSD) is a relevant tool in prosthetic planning, allowing to predict modifications desired by the patient, guiding surgeries and contributing to the final treatment outcome. The ceramic veneers stand out for the ability to mimic the dental characteristics, presenting excellent longevity, color stability and minimal wear of tooth structure. Objectives: The objective of the present study was to present a clinical case with interdisciplinary procedures and...

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Conservative techniques for treatment of dental fluorosis: clinical case report
Conservative techniques for treatment of dental fluorosis: clinical case report

Abstract: Fluoride is a very important element in preventing tooth decay, but fluoride intake exceeding recommended amounts can cause acute/chronic intoxication or fluorosis. Dental fluorosis is a consequence of excessive fluoride intake during the development of teeth (especially during the first three years of life) and reflects more commonly in the permanent dentition. The objective of the present study was to review the literature and present a clinical case in which clinical solutions...

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Clinical performance of low and high-viscosity bulk fill resin composites: Six-month follow-up
Clinical performance of low and high-viscosity bulk fill resin composites: Six-month follow-up

Abstract: Bulk fill resin composites have been introduced with the particularity to be placed in 4-mm thick bulks without adverse effects on polymerization shrinkage and cavity adaptation. Clinically, widely destroyed teeth are easily restored, thus reducing chair time. The present case reports evaluated the clinical performance of two Class I cavity restored with low and high-viscosity bulk fill resin composites. Male patient, 15 years old, searched for the Department of Operative...

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Evaluation of mechanical properties of composite resins with shelf life expired. First test: volumetric shinkrage
Evaluation of mechanical properties of composite resins with shelf life expired. First test: volumetric shinkrage

Objective: To evaluate the volumetric shrinkage of different brands of composite resin 6 months after the expiration date, using a video/imaging system (Acuvol, Bisco). Methods: Composite resin increments of approximately 15µL were placed on a teflon pedestal and the initial sample perimeter was checked. After resting for 3 min, the increments were light cured and the perimeter was checked through the video/imaging and a computer software, before and after light-curing. The difference...

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Atrophic jaw posterior rehabilitation with short and extra-short implants: two cases report
Atrophic jaw posterior rehabilitation with short and extra-short implants: two cases report

Introduction: The remodeling and subsequent atrophy of the alveolar bone directly interferes in bone availability, creating limits to treatment with conventional implants. The rehabilitation option with short and extra-short implants has become increasingly accepted in implant dentistry. This is a predictable treatment and allows to prevent invasive surgical techniques. For these reasons, this study is justified, for elucidating such issues of clinical interest. Methods: by means of a...

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Influence of auxiliary lighting, attached to high-speed turbine, in cavity dimensions during replacement of esthetic restoration
Influence of auxiliary lighting, attached to high-speed turbine, in cavity dimensions during replacement of esthetic restoration

Objective: To evaluate the influence of an auxiliary lightning (ultraviolet and white light), attached to a high-speed turbine, in the cavity dimensions after substitution of Class III composite resin restorations. Methods: Class III cavities with vestibular access were prepared in 36 artificial teeth mounted on dental manikin. The cavities were restored using a resin with medium fluorescence and the removal of restorations was performed with high-speed turbine in three different manners (n...

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Clinical study of bleeding index in oral surgery in patients under anticoagulant or antiplatelet therapy
Clinical study of bleeding index in oral surgery in patients under anticoagulant or antiplatelet therapy

Introduction: It was performed a clinical evaluation of the incidence of bleeding in various oral surgical procedures in patients taking anticoagulants (such as warfarin sodium and heparin) or antiplatelet therapy (such as acetylsalicylic acid), as well as the efficacy of tranexamic acid, maintaining patient’s protection against the occurrence of thromboembolic episodes. Methods: 31 surgeries were performed, 17 in male patients and 14 in female patients, having as inclusion criteria the...

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Evaluation of sorption and solubility of dental adhesives submitted to different light-curing
Evaluation of sorption and solubility of dental adhesives submitted to different light-curing

Objective: The aim of the study was to evaluate the influence of different photoactivation times (10, 15, 30 and 60 seconds) on the sorption and solubility of adhesives Ambar, Scotchbond Multi-Purpose (SMP), Single Bond 2-SB (SB2), Single Bond Universal (SBU) and Ambar Universal (AU). Methods: Disks were made with each adhesive (n = 10). They were dispensed into 6.0 x 1.0-mm silicone molds and polymerized. The sorption and solubility values were obtained after 7 days of storage in distilled...

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