Corrección gingival y carillas cerámicas.

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Posted on By Eduardo Duarte In Anterior/Esthetic

Paciente femenina que concurre a la consulta por motivos estéticos. Presenta múltiples retracciones gingivales en ambos maxilares . Se realizan injertos de tejido conectivo subepitelial , con técnica de túnel para corregir retracciones en el sector antero-superior. Para finalizar se realizan carillas cerámicas de e-max en las piezas 13.12.11.21.22.23.




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2 Comments

a well done case.
ceramics are needed at gingival areas but shades are usually an issue.
use direct composites for gingival simulation is better


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Posted on 01.09.2011 12:32 PM By Eduardo Duarte In Previous / Esthetic
Female patient who attends the consultation for aesthetic reasons. It has multiple gingival retractions in both jaws. Subepithelial connective tissue grafts are performed using a tunnel technique to correct retractions in the anterior-superior sector. Finally, ceramic veneers of e-max are made in pieces 13.12.11.21.22.23.

This is a very nicely and technically done case. My question is 'WHY????'
Why does this patient have recession and abfractions?
The issues with this case (from a distance of 1,000+ miles and no mounted models) involve the position of the teeth that have created a traumatic occlusion that lacks harmony. If I am correct, the gingival recession will continue and you might see either delamination and/or fracture of the porcelain at the gingiva in the shape of a semi-lunar shear fracture.

I believe that a relatively few number of dentists want to explore WHY the teeth, bone and soft tissues look like they do i.e. gingival recession, abfractions , incisal chipping/thinning prior to wanting to treat.

This is a long-term prescription for failure.


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Omnia
KLS Martin