Esthetic Recovery of Smile Using Composite Resin and “Biological Posts” and Crowns

The recovery of teeth that have been extensively destroyed by dental caries can be achieved through direct and indirect restorative procedures. This paper presents a case of the esthetic and functional recovery of permanent maxillary incisors with extensive dental caries in an adolescent patient through the use of a composite resin and “biological posts and crowns”. A case report was drafted to describe the direct restoration of central maxillary incisors using composite resin and endodontic treatment of the lateral maxillary incisors, the construction of dentinal posts, the adaptation and cementing of the posts to the root canals, preparation and molding of crown portions, model construction, the choice of extracted teeth and the making and cementing of “biological crowns”. The use of a composite resin and the cementing of “biological posts and crowns” reestablish dental esthetics and function. Biological restorations maintain all the characteristics of natural teeth and have a significant psychosocial impact on the patient's quality of life. However, it should be stressed that this technique was only indicated in the present case after the determination of a significant improvement in oral hygiene.

Dental caries, Adolescent, Crowns

1. Benzian H, Monse B, Heinrich-Weltzien R, et al. Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children. BMC Public Health 11: 558, 2011.

2. Antunes JL, Narvai PC, Nugent ZJ. Measuring inequalities in the distribu-tion of dental caries. Community Dent Oral Epidemiol 32: 41-8, 2004.

3. Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool chil-dren. Eur J Oral Sci 116: 37-43, 2008.

4. Kaizer OB, Bonfante G, Pereira Filho LD, et al. Utilization of biological posts to reconstruct weakened roots. Rev Gaucha Odontol 56: 7-13, 2008.[In Portuguese].

5. Tavano KT, Botelho AM, Motta TP, Paes TM. ´Biological Restoration’: total crown anterior. Dent Traumatol 25: 535-40, 2009.

6. Corrêa-Faria P, Alcântara CEP, Caldas-Diniz MV, et al. “Biological Resto-ration”: root canal and coronal reconstruction. J Esthet Restor Dent 22: 168- 78, 2010.

7. Alcântara CEP, Corrêa-Faria P, Vasconcellos WA, Ramos-Jorge ML. Combined technique with dentin post reinforcement and original fragment reattachment for the esthetic recovery of a fractured anterior tooth: a case report. Dent Traumatol 26: 355-8, 2010.

8. Oz IA, Haytac MC, Toroglu MS. Multidisciplinary approach to the reha-bilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol 22: 48-52, 2006.

9. Botelho AM, Tavano KA, Souza LT, et al. Full-crown made by the Biolog-ical Restoration technique. Int J Braz Dent 19: 284-92, 2009.

10. Imparato JCP, Bonecker MJS, Duarte DA, Guedes-Pinto AC. Restorations in anterior primary teeth: an alternative technique through gluing of natural crowns. J Bras Odontoped Odontol Bebe 1: 63-72, 1998. [In Portuguese].

11. Bello A, Jarvis RH. A review of esthetic alternatives for the restoration of anterior teeth. J Prosthet Dent 78: 437-40, 1997.

12. Busato AL, Loguercio AD, Barbosa AN, et al. Biological restoration using tooth fragments. Am J Dent 11: 46-9, 1998.

13. Nassif AC, Tieri F, da Ana PA, et al. Structuralization of a human teeth bank. Pesqui Odontol Bras 17: 70-4, 2003. [In Portuguese].