Holan G. Pulp aspects of traumatic dental injuries in primary incisors: dark coronal discoloration. J Endod. 2019; 45:S49-S51 https://doi.org/10.1016/j.joen.2019.05.012
Belobrov I, Parashos P. Treatment of tooth discoloration after the use of white mineral trioxide aggregate. J Endod. 2011; 37:1017-1020 https://doi.org/10.1016/j.joen.2011.04.003
Akbulut MB, Terlemez A, Akman M Tooth discoloration effects of calcium silicate based barrier materials used in revascularization and treatment with internal bleaching. J Dent Sci. 2017; 12:347-353 https://doi.org/10.1016/j.jds.2017.03.009
Wang XJ. Application of minimally invasive cosmetic dentistry in the clinics of pediatric dentistry. Hua Xi Kou Qiang Yi Xue Za Zhi. 2018; 36:349-354 https://doi.org/10.7518/hxkq.2018.04.001
Geštakovski D. The injectable composite resin technique: minimally invasive reconstruction of esthetics and function. Clinical case report with 2-year follow-up. Quintessence Int. 2019; 50:712-719 https://doi.org/10.3290/j.qi.a43089
Asa'ad F. Shared decision-making (SDM) in dentistry: a concise narrative review. J Eval Clin Pract. 2019; 25:1088-1093 https://doi.org/10.1111/jep.13129
Zhao X, Zanetti F, Wang L Effects of different discoloration challenges and whitening treatments on dental hard tissues and composite resin restorations. J Dent. 2019; 89 https://doi.org/10.1016/j.jdent.2019.103182
Bersezio C, Martín J, Mayer C Quality of life and stability of tooth color change at three months after dental bleaching. Qual Life Res. 2018; 27:3199-3207 https://doi.org/10.1007/s11136-018-1972-7
Greenwall-Cohen J, Greenwall LH. The single discoloured tooth: vital and non-vital bleaching techniques. Br Dent J. 2019; 226:839-849 https://doi.org/10.1038/s41415-019-0373-9
Miotti LL, Santos IS, Nicoloso GF The use of resin composite layering technique to mask discolored background: A CIELAB/CIEDE2000 analysis. Oper Dent. 2017; 42:165-174 https://doi.org/10.2341/15-368-L
Darabi F, Radafshar G, Tavangar M Translucency and masking ability of various composite resins at different thicknesses. J Dent (Shiraz). 2014; 15:117-22
Perez BG, Miotti LL, Susin AH, Durand LB. The Use of composite layering technique to mask a discolored background: color analysis of masking ability after aging – part II. Oper Dent. 2019; 44:488-498 https://doi.org/10.2341/18-016-L
Basegio MM, Pecho OE, Ghinea R Masking ability of indirect restorative systems on tooth-colored resin substrates. Dent Mater. 2019; 35:e122-e130 https://doi.org/10.1016/j.dental.2019.03.001
Paravina RD, Ghinea R, Herrera LJ Color difference thresholds in dentistry. J Esthet Restor Dent. 2015; 27:S1-9 https://doi.org/10.1111/jerd.12149
Stawarczyk B, Sener B, Trottmann A Discoloration of manually fabricated resins and industrially fabricated CAD/CAM blocks versus glass-ceramic: effect of storage media, duration, and subsequent polishing. Dent Mater J. 2012; 31:377-383 https://doi.org/10.4012/dmj.2011-238
Morimoto S, Albanesi RB, Sesma N Main clinical outcomes of feldspathic porcelain and glass-ceramic laminate veneers: a systematic review and meta-analysis of survival and complication rates. Int J Prosthodont. 2016; 29:38-49 https://doi.org/10.11607/ijp.4315
Igiel C, Weyhrauch M, Mayer B Effects of ceramic layer thickness, cement color, and abutment tooth color on color reproduction of feldspathic veneers. Int J Esthet Dent. 2018; 13:110-119
Tulbah H, AlHamdan E, AlQahtani A Quality of communication between dentists and dental laboratory technicians for fixed prosthodontics in Riyadh, Saudi Arabia. Saudi Dent J. 2017; 29:111-116 https://doi.org/10.1016/j.sdentj.2017.05.002
Dowling P. How to properly instruct your dental technician/laboratory: communication is key when working with a dental technician/laboratory. J Ir Dent Assoc. 2016; 62:210-211
Bacchi A, Boccardi S, Alessandretti R, Pereira GKR. Substrate masking ability of bilayer and monolithic ceramics used for complete crowns and the effect of association with an opaque resin-based luting agent. J Prosthodont Res. 2019; 63:321-326
Gagnier JJ, Kienle G, Altman DG The CARE guidelines: consensus-based clinical case report guideline development. J Diet Suppl. 2013; 10:381-390 https://doi.org/10.3109/19390211.2013.830679
Albino LGB, Chaves ET, Lima VP, Lima GS. Restoration of a single darkened central incisor with a modified ceramic veneer. J Prosthet Dent. 2019; 121:369-372 https://doi.org/10.1016/j.prosdent.2018.05.017
Garcia PP, da Costa RG, Calgaro M Digital smile design and mock-up technique for esthetic treatment planning with porcelain laminate veneers. J Conserv Dent. 2018; 21:455-458 https://doi.org/10.4103/JCD.JCD_172_18
Magne M, Magne I, Bazos P, Paranhos MP. The parallel stratification masking technique: an analytical approach to predictably mask discolored dental substrate. Eur J Esthet Dent. 2010; 5:330-339
Raut AW, Mantri V, Gedam PV, Phabyani PP. Conservative esthetic management of severe dental fluorosis with in-office power bleaching. Ann Afr Med. 2020; 19:211-214 https://doi.org/10.4103/aam.aam_52_19
Sundfeld D, Pavani CC, Pini N Enamel microabrasion and dental bleaching on teeth presenting severe-pitted enamel fluorosis: a case report. Oper Dent. 2019; 44:566-573 https://doi.org/10.2341/18-116-T
Lucarotti PSK, Burke FJT. The ultimate guide to restoration longevity in England and Wales. Part 9: incisor teeth: restoration time to next intervention and to extraction of the restored tooth. Br Dent J. 2018; 225:964-975 https://doi.org/10.1038/sj.bdj.2018.1025
Villarroel M, Fahl N, De Sousa AM, De Oliveira OB Direct esthetic restorations based on translucency and opacity of composite resins. J Esthet Restor Dent. 2011; 23:73-87 https://doi.org/10.1111/j.1708-8240.2010.00392.x
Pérez Rodríguez C, Judge RB, Castle D, Phillipou A. Body dysmorphia in dentistry and prosthodontics: a practice based study. J Dent. 2019; 81:33-38 https://doi.org/10.1016/j.jdent.2018.12.003
Restoration of Discoloured Incisors with Ceramic Veneers: A Workflow Case Report Luis Gustavo Barrote Albino Eduardo Trota Chaves Verônica Pereira de Lima Giana da Silveira Lima Dental Update 2024 51:1, 707-709.
Authors
Luis Gustavo BarroteAlbino
DDS, Msc, PhD
Doctor, Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
Lecturer, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit, Amsterdam, Netherlands; Guest Researcher, Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dentistry, Nijmegen, Netherlands
This case reports the treatment of two discoloured incisors with feldspar ceramic veneers using an integrated work approach, and the active participation of a dental technician. The patient presented an upper left central incisor with a composite restoration, and a lateral incisor with discolouration after trauma and endodontic treatment. Planning was developed in collaboration with the technician, the decision was to perform ceramic veneers on the discoloured teeth. Central incisor previous restoration was included in preparation, and lateral preparation was limited to create enough space for the veneer. This case highlights the importance of communication between patient, clinician, and technician to achieve excellent results in restorative dentistry.
CPD/Clinical Relevance: Feldspar ceramic veneers might be a good option for masking light and mediumly discoloured substrates.
Article
Tooth discolouration is one of the most common outcomes associated with traumatic events.1 Colour changes can occur due to different causes, such as pulp necrosis or penetration of endodontic cement into the dentinal tubules.2,3 In light of this, proposed treatments should consider effective approaches to masking the darkened substrate. Ideally, the proposed treatment should only include the affected elements and not involve the adjacent teeth with the aim of achieving chromatic harmony.4 The decision-making process should consider the patient's expectations and demands regarding the restorative material and longevity of the treatment.5,6
Conservative treatments, such as tooth bleaching techniques, can be adequate to resolve or minimize tooth discolouration.7,8,9 However, some cases require restorative treatments, such as direct composite resin restorations.10 The masking ability of resin composites is highly related to the technique and influenced by the thickness of the restoration and the use of opacifier agents and/or opaque resin composites.11 Additionally, the substrate-masking process needs to be balanced against compromising other aesthetic properties, such as translucency.10,12 Furthermore, the ageing of resin composites can result in long-term colour instability12 and require interventions such as polishing or refurbishment.13
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
