Browsing by Author "Martins, Lidiany Ribeiro"
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- Dental wear of anterior teeth: a case report of digital and mock-up guides for composite resin restorationPublication . Martins, Lidiany Ribeiro; Monteiro, Patrícia Manarte; Lemos, BernardoAims: This work describes a case report and illustrates the use of a digital guide and a mock-up guide, as three-dimensional planning for predictable direct resin composite restoration of lower anterior teeth. Also, it intended to discuss the main case description with the literature evidence. Case Description: A 79-year-old male patient came to the Dentistry Pedagogical Clinics of University Fernando Pessoa (UFP) to improve oral aesthetic and function. Clinical examination revealed multiple tooth wear, BEWE scored 3 and loss of gingival marginal integrity in all teeth of the 5th sextant. Upper and lower partial (Kennedy/Applegate, class I) removable dentures were well-fitted. A digital guide and a direct composite mock-up guide were performed for workflow planning and direct composite resin rehabilitation. Follow-up was done at 1st and 6th months, with final polishing and assessment of the lower prosthesis fit. The prognosis was favorable, but requires periodic monitoring due to adaptation and need for occlusal splint use. UFP Ethics Committee approved this case (n.º 513/24). For discussion purposes, a search was also carried out in PubMed using the MeSH terms: “Incisor”, “Dental/Tooth Wear”, “Composite Resin”, and the keywords “Digital guide”, “mock-up guide”. Only full-text publications from 2013 to 2024, in English, of human anterior teeth case reports were included. Publications of other study types, referring to animals, posterior teeth, orthodontic procedures and deciduous dentition were excluded. The CARE checklist was applied as a quality guideline for clinical case and review publications on the subject. Conclusion: This case report addressed direct composite resin restorations of mandibular anterior teeth with generalized and localized dental wear using digital and mock-up guides. Pre- and post-treatment photographs highlight the clinical effects achieved. This method was not only time-efficient but also represents a highly conservative rehabilitation option with satisfactory clinical outcomes.