Biomimetic reconstruction of endodontically treatedteeth

Silva CHV, Coutinho AVM, Dodoo DA, Falcão MCC*, Silva CHV
Federal University of Pernambuco

Objective

The aim of this study is to present a clinical case demonstrating mechanical, aesthetic, and functional biomimetic restoration of an endodontically treated lower molar.

Case report

Female patient, 50 years old, presented the first permanent molar, endodontically treated and extensively destroyed. We opted for direct coronal reconstruction using Vittra APS Unique (FGM) composite resin with a fluid consistency (58 to 62% load by weight) and conventional (72 to weight) and conventional (72 to 80% load in weight), associated with Interlig glass fiber (Angelus) and the use of selective acid etching of the enamel with the Ambar APS system (FGM).

Advantages

Biomimetic approaches are less invasive and preserve structural integrity of compromised teeth, focus adhesion, and reduce the occurrence of irreparable damage and increase the fracture resistance of endodontically treated teeth.

Limitations

One restriction may be connected to proficiency in applying the technique, handling challenges, and adaptability of the fiberglass.

Conclusions

Considering the results achieved, it can be concluded that the restorative technique employed can be in a single session, with excellent color biomimicry and functional performance. It therefore represents an affordable restorative option with satisfactory results in the rehabilitation of endodontically treated and extensively destroyed teeth.

References

Garoushi S, Gargoum A, Vallittu PK, Lassila L. Short fiber-reinforced composite restorations: a review of the current literature. Journal of investigative and clinical dentistry [Internet]. 2018 [cited September 12 22]; 9(3):12330. Avaliable from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jicd.12330

Deliperi S, Alleman D, Rudo D. Stress-reduced direct composites for the restoration of structurally compromised teeth: fiber design according to the “wallpapering” technique. Operative dentistry [Internet]. 2017 [cited Sep 12, 22]; 42(3):233-243.