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Advisor(s)
Abstract(s)
A presente revisão bibliográfica aborda as facetas estéticas em dentes anteriores, pela crescente valorização de um sorriso esteticamente agradável, facto que faz com que as pessoas procurem cada vez mais alternativas de tratamento para melhorar a aparência do seu sorriso. Os dentes anteriores são decisivos na aparência estética e, como tal, são extremamente valorizados pelo paciente que deseja branquear ou alterar a sua forma, tamanho ou posição dos seus dentes, com o intuito de melhorar a sua imagem e auto-estima.
O Médico Dentista tem um papel fundamental neste âmbito, pois dispõe de diversas opções restauradoras para reabilitações estéticas do sector anterior, desde restaurações directas em compósito, até restaurações indirectas em cerâmica.
Este trabalho pretende fazer um enquadramento das Facetas Estéticas na Medicina Dentária e a sua relação com as preocupações estéticas preconizadas pela sociedade actual.
Para a elaboração desta tese, foi efectuada uma pesquisa nas bases de dados, “PubMed/Medline”, “B-on”, “Science Direct” e “Google Scholar”, utilizando como palavras-chave, Estética, Facetas Directas, Facetas Indirectas, Resina Composta e Cerâmica.
Uma restauração directa a compósito fornece um elevado potencial estético, longevidade clínica aceitável e custo relativamente inferior, em relação às cerâmicas. Além disso, por poderem associar-se aos sistemas adesivos, permitem a preservação de tecido dentário hígido e a sua execução é minimamente invasiva.
As facetas indirectas representam uma alternativa restauradora estética, que alia a possibilidade de minimizar o desgaste dentário necessário, à possibilidade de alterar significativamente a estética, sendo esta, também, uma opção de sucesso a longo prazo.
As cerâmicas têm sido bastante utilizadas, devido à sua estabilidade de cor, à possibilidade de representação dos aspectos ópticos presentes nos dentes naturais, fluorescência, durabilidade, biocompatibilidade, estabilidade química, elevada resistência à compressão e coeficiente de expansão térmica semelhante ao da estrutura dentária.
Deste modo, pode concluir-se que as facetas estéticas representam uma alternativa segura, rápida, reversível e conservadora da estética, da função e da biologia dos dentes. Proporcionam também, resultados muito agradáveis e compensadores, relativamente à estética, mesmo não sendo consideradas restaurações definitivas.
The present bibliographical review broaches the esthetic veneers on anterior teeth, by the increasing value of an aesthetically pleasant smile, which makes people look for more and more alternative treatments to improve the appearance of their smile. The anterior teeth are important and decisive for the aesthetic appearance and, as such, they are extremely valued by the patient who wants to bleach or to change their shape, size or teeth position, in order to improve their own image and self-esteem. The Dentist plays an important role in this procedure, so he has many different restorative options for aesthetic rehabilitation of the anterior sector, from direct restorations in composite, to indirect restorations in ceramics. The aim of this paper was to present a framework of the Aesthetic Veneers in Dental Medicine and their relation with the aesthetic cares revealed by our society. In order to do this thesis, research was done on the following databases, such as “PubMed/Medline”, “B-on”, “Science Direct” and “Google Scholar”, using as keywords, Aesthetics, Direct Veneers, Indirect Veneers, composite resin and ceramics. A direct restoration in composite provides a high aesthetic potential, an acceptable clinical performance and a lower cost, compared to ceramic. Moreover, they can associate with adhesive systems, that allows the preservation of healthy dental tissue and their implementation is minimally invasive. The indirect veneers represent an alternative aesthetic restorative, which combines the possibility to minimize abrasion and changing significantly the aesthetics, which is also a long-term successful option. Ceramics have been frequently used because of their colour stability, the possibility of representing the optical features present in natural teeth, fluorescence, durability, bio-compatibility, chemical stability, high compressive strength and thermal expansion co-efficient related to the tooth structure. So, it was possible to conclude that aesthetic veneers represent an effective and safe alternative, fast, reversible and conservative aesthetics, for the function and the teeth biology. They can also provide great and rewarding results, concerned to the aesthetic, even though they aren’t considered definitive restorations.
The present bibliographical review broaches the esthetic veneers on anterior teeth, by the increasing value of an aesthetically pleasant smile, which makes people look for more and more alternative treatments to improve the appearance of their smile. The anterior teeth are important and decisive for the aesthetic appearance and, as such, they are extremely valued by the patient who wants to bleach or to change their shape, size or teeth position, in order to improve their own image and self-esteem. The Dentist plays an important role in this procedure, so he has many different restorative options for aesthetic rehabilitation of the anterior sector, from direct restorations in composite, to indirect restorations in ceramics. The aim of this paper was to present a framework of the Aesthetic Veneers in Dental Medicine and their relation with the aesthetic cares revealed by our society. In order to do this thesis, research was done on the following databases, such as “PubMed/Medline”, “B-on”, “Science Direct” and “Google Scholar”, using as keywords, Aesthetics, Direct Veneers, Indirect Veneers, composite resin and ceramics. A direct restoration in composite provides a high aesthetic potential, an acceptable clinical performance and a lower cost, compared to ceramic. Moreover, they can associate with adhesive systems, that allows the preservation of healthy dental tissue and their implementation is minimally invasive. The indirect veneers represent an alternative aesthetic restorative, which combines the possibility to minimize abrasion and changing significantly the aesthetics, which is also a long-term successful option. Ceramics have been frequently used because of their colour stability, the possibility of representing the optical features present in natural teeth, fluorescence, durability, bio-compatibility, chemical stability, high compressive strength and thermal expansion co-efficient related to the tooth structure. So, it was possible to conclude that aesthetic veneers represent an effective and safe alternative, fast, reversible and conservative aesthetics, for the function and the teeth biology. They can also provide great and rewarding results, concerned to the aesthetic, even though they aren’t considered definitive restorations.
Description
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária
Keywords
Estética Facetas directas Facetas indirectas Resina composta Cerâmica Aesthetics Direct veneers Indirect veneers Composite resin Ceramics
