25-year-old female patient. COMPLAINT Pain stimulated by cold conditions in tooth 36. CLINICAL Tooth 36 showed a restoration with marginal infiltration besides deficiency in shade and form. TREATMENT The restoration was replaced. Because the cavity was wide and deep, a simpler approach was chosen: the use of a flowable composite with low shrinkage stress, covered Read more
Clinical case carried out in Colombia. Female patient, 22. COMPLAINT Misaligned teeth. INITIAL APPEARANCE Healthy and slightly misaligned teeth. CLINICAL/X-RAY EXAM The patient had good oral health and hygiene habits. In the clinical exam, teeth 11 and 13 presented wear on the incisal surfaces. Tooth 21 showed a slight difference at the Read more
Male patient, 25. COMPLAINT The patient sought treatment to correct aesthetic problems with the upper central incisors. INITIAL APPEARANCE The negative aesthetic influence of the failed restorations on teeth 11 and 21 was apparent. CLINICAL/X-RAY EXAM The presence of class IV restorations was noticed on teeth 11 and 21, which were poorly fitting, discolored, Read more
Male patient, 32. COMPLAINT Fracture of tooth 21 due to local trauma. INITIAL APPEARANCE Coronal fracture of tooth 21 involving enamel and dentin. CLINICAL/X-RAY EXAM Tooth 21 had been treated endodontically. The trauma did not cause damage to the tissues surrounding the tooth, but extensive fracture and darkening of the dental remnant was noticed. Read more
Male patient, 32. COMPLAINT Upper anterior teeth with cavities. INITIAL APPEARANCE Large cavities on teeth 11 and 21 CLINICAL/X-RAY EXAM Teeth 11 and 21 presented pulp vitality and large cavity lesions on the cervical (tooth 21) and cervical/medium (tooth 11) thirds, compromising aesthetics and function. TREATMENT Two direct class V restorations in composite resin Read more
Female patient, 20. COMPLAINT Tooth 46 with unsatisfactory restoration. INITIAL APPEARANCE Occlusal-proximal restoration with signs of maladjustment. CLINICAL/X-RAY EXAM Tooth 46 had extensive composite resin restoration, with signs of infiltration, loss of shape and texture. TREATMENT The restoration was changed, replacing it with new direct resin material.
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