Direct Adhesive Pin-Retained Restorations for Severely Worn Dentition Treatment: A 1.5-Year Follow-Up Report

Brazilian Dental Journal

Camila Lima De Andrade¹  Thais Marques Simek Vega Gonçalves¹  Ícaro Leite Dos Santos¹  Michel Silva Barros¹  Nubia Rafaela Ribeiro Araújo¹  Altair Antoninha Del Bel Cury¹ 

关键词: tooth wear;    dentinal pins;    occlusal vertical dimension;    full-mouth rehabilitation;    case report;   

DOI  :  10.1590/0103-6440201300020

来源: SciELO

【 摘 要 】

Excessive occlusal surface wear can result in occlusal disharmony, functional and esthetic impairment. As a therapeutic approach, conventional single crowns have been proposed, but this kind of treatment is complex, highly invasive and expensive. This case report describes the clinical outcomes of an alternative minimally invasive treatment based on direct adhesive-pin retained restorations. A 64-year-old woman with severely worn dentition, eating problems related to missing teeth and generalized tooth hypersensitivity was referred for treatment. Proper treatment planning based on the diagnostic wax-up simulation was used to guide the reconstruction of maxillary anterior teeth with direct composite resin over self-threading dentin pins. As the mandibular remaining teeth were extremely worn, a tooth-supported overdenture was installed. A stabilization splint was also used to protect the restorations. This treatment was a less expensive alternative to full-mouth rehabilitation with positive esthetic and functional outcomes after 1.5 years of follow-up.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License