Direct restoration in a safe and practical way


Before

After

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
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Supervised dental whitening


Before

After

Female patient, 22. COMPLAINT Yellowish teeth. INITIAL APPEARANCE Shade A3 for canines and A2 for the other teeth, according to the VITAPAN® Classical shade guide. CLINICAL/X-RAY EXAM Good oral health, healthy teeth and gums. It was concluded that the teeth were vital and naturally darke ned. TREATMENT Supervised take-home whitening with carbamide peroxide at 16%
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Removal of remnant of resin cement after removal of fixed orthodontic braces


Before

After

Female patient, 25. COMPLAINT Removal of fixed braces and need for elimination of cement residues. INITIAL APPEARANCE Patient completed orthodontic treatment with metal brackets still installed.   CLINICAL/X-RAY EXAM Patient presented fixed metal braces, with healthy teeth and indication for removal of the braces.   TREATMENT The brackets were removed, and then, with the aid of
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The importance of proper removal of residues of cement for brackets after orthodontic treatment


Before

After

Male patient, 34. COMPLAINT Yellowish stains on the central incisors originated from a “non-satisfactory whitening procedure” performed 19 years ago. INITIAL APPEARANCE The teeth had A1 shade and the yellowish stains were residual orthodontic cement, which was only partially removed interfering in aesthetics.   CLINICAL/X-RAY EXAM General healthy oral conditions and clear teeth (A1 shade).
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Veneers for maximizing the aesthetics of the smile


Before

After

   Clinical case carried out in Peru.   Female patient, 45. COMPLAINT “Aged” smile. INITIAL APPEARANCE Maxillary anterior teeth, displaying a tendency toward an inverted smile with incisal edge of the centers on the same level as the sides or slightly above.   CLINICAL/X-RAY EXAM Despite good oral health, teeth had become darkened and there
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Direct restoration of anterior tooth affected by trauma


Before

After

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.
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Opallis onlay by using universal adhesive – A simple alternative for rehabilitation of posterior teeth


Before

After

Female patient, 52. COMPLAINT Fractured tooth. INITIAL APPEARANCE Extensive crown destruction of tooth 45 involving the vestibular peak, reaching the pulpar chamber.   INTRODUTION Cured composite resins in ideal conditions can be used in the office as an alternative for the ceramic onlays and the laboratory composite resin restorations. They present a number of advantages,
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Class V restoration using direct composite resin


Before

After

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
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Direct restoration on a posterior tooth


Before

After

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.

Minimally invasive techniques for dental fluorosis: microabrasion and whitening


Before

After

Female patient, 20. COMPLAINT Teeth with brown stains and many white stains. INITIAL APPEARANCE Initial appearance of fluorosis stains. The brownish stains on the anterior teeth were causing embarrassment to the patient and were her main complaint.   CLINICAL/X-RAY EXAM Stains on teeth were classified as grade 5 fluorosis in accordance with the TF index
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Whitening of endodontically treated tooth


Before

After

   Clinical case carried out in Peru.   Female patient, 45. COMPLAINT Darkened central incisor. INITIAL APPEARANCE Tooth 11 darkened and without alterations of adjacent tissues.   CLINICAL/X-RAY EXAM Non-vital tooth, with clinical and radiographic aspect apparently normal. The dyschromia was evident, causing an important aesthetic issue.   TREATMENT Internal whitening was carried out for
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Supervised take-home dental whitening with hydrogen peroxide


Before

After

Female patient, 23. COMPLAINT Yellowish teeth. INITIAL APPEARANCE Harmonious smile showing the possibility of whitening, which would improve aesthetics for the patient.   CLINICAL/X-RAY EXAM Healthy oral condition, teeth showing shade A3.5 (canines) and A3 (other teeth).   TREATMENT The technique of supervised take-home whitening was carried out, with 7.5% hydrogen peroxide, used for an
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