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Abordagem clínica de lesões cervicais de etiologia multifatorial: relato de um caso clínico
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39577 | 7.86 MB | Adobe PDF |
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Abstract(s)
As lesões cervicais apresentam várias particularidades, tais como falta de estética (sobretudo a nível anterior), a hipersensibilidade dentinária e a acumulação de placa bacteriana devido à anatomia do defeito, tornando a higiene oral um verdadeiro desafio.
Muito frequentemente a sua etiologia é multifatorial, podendo ser classificadas como lesões cervicais cariosas ou não cariosas. O tratamento destas lesões depende fortemente de um diagnóstico preciso baseado em vários fatores restauradores e periodontais identificados através da avaliação da história médica e dentária do paciente e de uma avaliação clínica completa.
O objetivo deste trabalho consiste na restauração de várias lesões cervicais cariosas e não cariosas dos dentes 45, 44, 43, 42, 41, 31, 32, 33, 34 e 35 de um paciente adulto do género masculino. Através da análise da história clínica, dieta, hábitos parafuncionais, hábitos de higiene e da avaliação periodontal, confirmou-se que estas lesões apresentam etiologia multifatorial. Pretende-se proceder ao controlo dos fatores etiológicos, através de conselhos dietéticos, de higiene e de controlo de placa, dos hábitos parafuncionais, para posteriormente proceder à remoção de cárie e restauração das várias lesões cervicais com resina composta.
Cervical lesions present various concerns, such as lack of aesthetics (especially in the anterior teeth), dentinal hypersensitivity and the accumulation of bacterial plaque due to the anatomy of the defect, making oral hygiene a real challenge. Very often their etiology is multifactorial and they can be classified as carious or non-carious cervical lesions. The treatment of these lesions depends heavily on an accurate diagnosis based on various restorative and periodontal factors identified through an assessment of the patient's medical and dental history and a thorough clinical evaluation. The aim of this study was to restore several carious and non-carious cervical lesions on teeth 45, 44, 43, 42, 41, 31, 32, 33, 34 and 35 of an adult male patient. Analysis of the clinical history, diet, parafunctional habits, hygiene habits and periodontal assessment confirmed that these lesions have a multifactorial etiology. The aim is to control the etiological factors, through dietary advice, hygiene and plaque control, and parafunctional habits, in order to subsequently remove the caries and restore the various cervical lesions with composite resin.
Cervical lesions present various concerns, such as lack of aesthetics (especially in the anterior teeth), dentinal hypersensitivity and the accumulation of bacterial plaque due to the anatomy of the defect, making oral hygiene a real challenge. Very often their etiology is multifactorial and they can be classified as carious or non-carious cervical lesions. The treatment of these lesions depends heavily on an accurate diagnosis based on various restorative and periodontal factors identified through an assessment of the patient's medical and dental history and a thorough clinical evaluation. The aim of this study was to restore several carious and non-carious cervical lesions on teeth 45, 44, 43, 42, 41, 31, 32, 33, 34 and 35 of an adult male patient. Analysis of the clinical history, diet, parafunctional habits, hygiene habits and periodontal assessment confirmed that these lesions have a multifactorial etiology. The aim is to control the etiological factors, through dietary advice, hygiene and plaque control, and parafunctional habits, in order to subsequently remove the caries and restore the various cervical lesions with composite resin.
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Keywords
Lesões cervicais cariosas Lesões cervicais não cariosas Tratamento Diagnóstico Periodontal Etiopatologia Carious cervical lesions Non carious cervical lesions Treatment Diagnosis Etiopathology