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Maksiller Anterior Polidiastema Vakasının “Injection Moulding” Tekniği ile Estetik Rehabilitasyonu: Olgu Sunumu

Year 2025, , 19 - 24, 24.04.2025
https://doi.org/10.58711/turkishjdentres.vi.1591178

Abstract

Özellikle ön bölgede dişler arasındaki polidiastema estetiği bozan bir durumdur. Bu olgu sunumunda
maksiller anterior polidiastema vakasının düşük maliyetli ve konservatif bir yaklaşım olan “Injection Moulding” tekniği ile rehabilitasyonu amaçlanmıştır. 23 yaşında, sistemik olarak sağlıklı erkek hasta,
dişleri arasındaki boşluklar ve genel görünümleri ile ilgili şikayetlerle kliniğimize başvurmuştur. Hastadan,
ekstraoral ve intraoral muayenelerin ardından C tipi silikon ölçü materyali ile ölçü alınmıştır. Elde edilen
model üzerinde wax-up çalışması yapılmıştır. Silikon indeks kullanılarak dişler injectable kompozit rezin
(G-aenial Universal Injectable AO2) ile restore edilmiştir. 1 ve 3 aylık kontrollerinde restorasyonlarda herhangi bir problem veya renklenme görülmemiştir. Hasta estetik sonuçtan memnundur

References

  • 1. Kerosuo H, Hausen H, Laine T, Shaw WC. The influence of incisal malocclusion on the social attractiveness of young adults in Finland. Eur J Orthod. 1995;17(6):505-12.
  • 2. Romero MF, Babb CS, Brenes C, Haddock FJ. A multidisciplinary approach to the management of a maxillary midline diastema: A clinical report. J Prosthet Dent. 2018;119(4):502-5.
  • 3. Saratti CM, Krejci I, Rocca GT. Multiple diastema closure in periodontally compromised teeth: How to achieve an enamel-like emergence profile. The journal of prosthetic dentistry. 2016;116(5):642-6.
  • 4. Kabbach W, Sampaio CS, Hirata R. Diastema closures: A novel technique to ensure dental proportion. J Esthet Restor Dent. 2018;30(4):275-80.
  • 5. Shui Y, Wu J, Luo T, Sun M, Yu H. Three dimensionally printed template with an interproximal isolation design guide consecutive closure of multiple diastema with injectable resin composite. Journal of Esthetic and Restorative Dentistry. 2024;36(10):1381-7.
  • 6. Milian R, Lefrançois E, Radzikowski A, Morice S, Desclos- Theveniau M. Pre-orthodontic restorative treatment of microdontia diastema teeth using composite injection technique with a digital workflow-Case report. Heliyon. 2023;9(5):e15843.
  • 7. Chen CT, Yang B, Yin YX, Wang XD, Zhao K. Maxillary midline diastema closure with sectional feldspathic porcelain veneers: A case series followed 1 to 4 years. Journal of Esthetic and Restorative Dentistry. 2023;35(7):1022-9.
  • 8. Araujo E, Perdigão J. Anterior Veneer Restorations-An Evidence-based Minimal-Intervention Perspective. Journal of Adhesive Dentistry. 2021;23(2).
  • 9. Coachman C, De Arbeloa L, Mahn G, Sulaiman TA, Mahn E. An Improved Direct Injection Technique With Flowable Composites. A Digital Workflow Case Report. Operative Dentistry. 2020;45(3):235-42.
  • 10. Terry DA, Powers JM. A predictable resin composite injection technique, Part I. Dent Today. 2014;33(4):96, 8-101.
  • 11. Terry DA, Powers JM, Mehta D, Babu V. A predictable resin composite injection technique, part 2. Dent Today. 2014;33(8):12.
  • 12. Ammannato R, Ferraris F, Marchesi G. The “index technique” in worn dentition: a new and conservative approach. Int J Esthet Dent. 2015;10(1):68-99.
  • 13. Geštakovski D. The injectable composite resin technique: minimally invasive reconstruction of esthetics and function. Clinical case report with 2-year follow-up. Quintessence international (Berlin, Germany : 1985). 2019;50:712-9.
  • 14. Burke FJ, Kelleher MG, Wilson N, Bishop K. Introducing the concept of pragmatic esthetics, with special reference to the treatment of tooth wear. J Esthet Restor Dent. 2011;23(5):277-93.
  • 15. Qualtrough A, Burke F. A look at dental esthetics. Quintessence international. 1994;25(1).
  • 16. Demirci M, Tuncer S, Öztaş E, Tekçe N, Uysal Ö. A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment. Clin Oral Investig. 2015;19(9):2187-99.
  • 17. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: a 5-year follow-up. Journal of dentistry. 2013;41(11):979-85.
  • 18. Türkaslan S, Ulusoy KU. Esthetic rehabilitation of crowded maxillary anterior teeth utilizing ceramic veneers: a case report. Cases journal. 2009;2:1-5.
  • 19. Muslimah DF, Hasegawa Y, Antonin T, Richard F, Hosaka K. Composite Injection Technique With a Digital Workflow: A Pragmatic Approach for a Protruding Central Incisor Restoration. Cureus. 2024;16(4):e58712.
  • 20. Baroudi K, Rodrigues JC. Flowable resin composites: a systematic review and clinical considerations. Journal of clinical and diagnostic research: JCDR. 2015;9(6):ZE18.
  • 21. Rathod P, Patel A, Mankar N, Chandak M, Ikhar A. Enhancing Aesthetics and Functionality of the Teeth Using Injectable Composite Resin Technique. Cureus. 2024;16(5):e59974.
  • 22. Boruziniat A, Gharaee S, Shirazi AS, Majidinia S, Vatanpour M. Evaluation of the efficacy of flowable composite as lining material on microleakage of composite resin restorations: A systematic review and meta-analysis. Quintessence international. 2016;47(2).
  • 23. Boeckler A, Schaller H-G, Gernhardt CR. A prospective, double-blind, randomized clinical trial of a one-step, selfetch adhesive with and without an intermediary layer of a flowable composite: a 2-year evaluation. Quintessence International. 2012;43(4).
  • 24. Kouri V, Moldovani D, Papazoglou E. Accuracy of direct composite veneers via injectable resin composite and silicone matrices in comparison to diagnostic wax-up. Journal of Functional Biomaterials. 2023;14(1):32.
  • 25. Akehashi S, Takahashi R, Nikaido T, Burrow MF, Tagami J. Enhancement of dentin bond strength of resin cement using new resin coating materials. Dental materials journal. 2019;38(6):955-62.
  • 26. Okuda M, Nikaido T, Maruoka R, Foxton RM, Tagami J. Microtensile bond strengths to cavity floor dentin in indirect composite restorations using resin coating. Journal of Esthetic and Restorative Dentistry. 2007;19(1):38-46.

Aesthetic Rehabilitation of Polydiastema of Maxillary Anterior Teeth Using Injection Moulding Technique: A Case Report

Year 2025, , 19 - 24, 24.04.2025
https://doi.org/10.58711/turkishjdentres.vi.1591178

Abstract

Polydiastema, especially in the front area, can cause esthetical problems for the patients. In this case report, the aim is to rehabilitate a case of maxillary anterior polydiastema with the “Injection Molding” technique, which is a low-cost and conservative approach. A 23-year-old systemically healthy male patient referred to our clinic with complaints about gaps between his teeth and their overall appearance. After extraoral and intraoral examinations, a C-type silicone impression was taken from the patient. A wax up was performed on the obtained model. The teeth were restored with injectable composite resin (G-aenial Universal Injectable AO2) using a silicone index. No problems or discoloration were observed in the
restorations at the 1 and 3 month controls of the patient. The patient is satisfied with the aesthetic result.

References

  • 1. Kerosuo H, Hausen H, Laine T, Shaw WC. The influence of incisal malocclusion on the social attractiveness of young adults in Finland. Eur J Orthod. 1995;17(6):505-12.
  • 2. Romero MF, Babb CS, Brenes C, Haddock FJ. A multidisciplinary approach to the management of a maxillary midline diastema: A clinical report. J Prosthet Dent. 2018;119(4):502-5.
  • 3. Saratti CM, Krejci I, Rocca GT. Multiple diastema closure in periodontally compromised teeth: How to achieve an enamel-like emergence profile. The journal of prosthetic dentistry. 2016;116(5):642-6.
  • 4. Kabbach W, Sampaio CS, Hirata R. Diastema closures: A novel technique to ensure dental proportion. J Esthet Restor Dent. 2018;30(4):275-80.
  • 5. Shui Y, Wu J, Luo T, Sun M, Yu H. Three dimensionally printed template with an interproximal isolation design guide consecutive closure of multiple diastema with injectable resin composite. Journal of Esthetic and Restorative Dentistry. 2024;36(10):1381-7.
  • 6. Milian R, Lefrançois E, Radzikowski A, Morice S, Desclos- Theveniau M. Pre-orthodontic restorative treatment of microdontia diastema teeth using composite injection technique with a digital workflow-Case report. Heliyon. 2023;9(5):e15843.
  • 7. Chen CT, Yang B, Yin YX, Wang XD, Zhao K. Maxillary midline diastema closure with sectional feldspathic porcelain veneers: A case series followed 1 to 4 years. Journal of Esthetic and Restorative Dentistry. 2023;35(7):1022-9.
  • 8. Araujo E, Perdigão J. Anterior Veneer Restorations-An Evidence-based Minimal-Intervention Perspective. Journal of Adhesive Dentistry. 2021;23(2).
  • 9. Coachman C, De Arbeloa L, Mahn G, Sulaiman TA, Mahn E. An Improved Direct Injection Technique With Flowable Composites. A Digital Workflow Case Report. Operative Dentistry. 2020;45(3):235-42.
  • 10. Terry DA, Powers JM. A predictable resin composite injection technique, Part I. Dent Today. 2014;33(4):96, 8-101.
  • 11. Terry DA, Powers JM, Mehta D, Babu V. A predictable resin composite injection technique, part 2. Dent Today. 2014;33(8):12.
  • 12. Ammannato R, Ferraris F, Marchesi G. The “index technique” in worn dentition: a new and conservative approach. Int J Esthet Dent. 2015;10(1):68-99.
  • 13. Geštakovski D. The injectable composite resin technique: minimally invasive reconstruction of esthetics and function. Clinical case report with 2-year follow-up. Quintessence international (Berlin, Germany : 1985). 2019;50:712-9.
  • 14. Burke FJ, Kelleher MG, Wilson N, Bishop K. Introducing the concept of pragmatic esthetics, with special reference to the treatment of tooth wear. J Esthet Restor Dent. 2011;23(5):277-93.
  • 15. Qualtrough A, Burke F. A look at dental esthetics. Quintessence international. 1994;25(1).
  • 16. Demirci M, Tuncer S, Öztaş E, Tekçe N, Uysal Ö. A 4-year clinical evaluation of direct composite build-ups for space closure after orthodontic treatment. Clin Oral Investig. 2015;19(9):2187-99.
  • 17. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: a 5-year follow-up. Journal of dentistry. 2013;41(11):979-85.
  • 18. Türkaslan S, Ulusoy KU. Esthetic rehabilitation of crowded maxillary anterior teeth utilizing ceramic veneers: a case report. Cases journal. 2009;2:1-5.
  • 19. Muslimah DF, Hasegawa Y, Antonin T, Richard F, Hosaka K. Composite Injection Technique With a Digital Workflow: A Pragmatic Approach for a Protruding Central Incisor Restoration. Cureus. 2024;16(4):e58712.
  • 20. Baroudi K, Rodrigues JC. Flowable resin composites: a systematic review and clinical considerations. Journal of clinical and diagnostic research: JCDR. 2015;9(6):ZE18.
  • 21. Rathod P, Patel A, Mankar N, Chandak M, Ikhar A. Enhancing Aesthetics and Functionality of the Teeth Using Injectable Composite Resin Technique. Cureus. 2024;16(5):e59974.
  • 22. Boruziniat A, Gharaee S, Shirazi AS, Majidinia S, Vatanpour M. Evaluation of the efficacy of flowable composite as lining material on microleakage of composite resin restorations: A systematic review and meta-analysis. Quintessence international. 2016;47(2).
  • 23. Boeckler A, Schaller H-G, Gernhardt CR. A prospective, double-blind, randomized clinical trial of a one-step, selfetch adhesive with and without an intermediary layer of a flowable composite: a 2-year evaluation. Quintessence International. 2012;43(4).
  • 24. Kouri V, Moldovani D, Papazoglou E. Accuracy of direct composite veneers via injectable resin composite and silicone matrices in comparison to diagnostic wax-up. Journal of Functional Biomaterials. 2023;14(1):32.
  • 25. Akehashi S, Takahashi R, Nikaido T, Burrow MF, Tagami J. Enhancement of dentin bond strength of resin cement using new resin coating materials. Dental materials journal. 2019;38(6):955-62.
  • 26. Okuda M, Nikaido T, Maruoka R, Foxton RM, Tagami J. Microtensile bond strengths to cavity floor dentin in indirect composite restorations using resin coating. Journal of Esthetic and Restorative Dentistry. 2007;19(1):38-46.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Restorative Dentistry
Journal Section Case Reports
Authors

Melek Taş Çinkılıç 0009-0003-1894-0041

Doç. Dr. Ertan Ertaş 0000-0001-7362-4576

Fikret Yılmaz 0000-0002-9621-4788

Publication Date April 24, 2025
Submission Date November 28, 2024
Acceptance Date February 19, 2025
Published in Issue Year 2025

Cite

Vancouver Taş Çinkılıç M, Ertaş DDE, Yılmaz F. Maksiller Anterior Polidiastema Vakasının “Injection Moulding” Tekniği ile Estetik Rehabilitasyonu: Olgu Sunumu. J Turkish Dent Res. 2025;4(1):19-24.

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