Restoration of front teeth with composite partial crowns after injury

Stanislav V. Miklaev, O. M. Leonova, A. Sushchenko, Anna S. Averina, Angelica A. Brykina, Ekaterina S. Afonina
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Abstract

The dentist-therapist in clinical practice often has to carry out aesthetic restoration of the teeth of the frontal group using composite materials. The requirements for dental treatment of the frontal group increase with the improvement of materials and tools. The methods of recreating the aesthetics of the tooth used in the conditions of the dental laboratory are not always suitable for use in the clinic of therapeutic dentistry. This is due to the peculiarities of performing restoration in the oral cavity, the properties of composite materials, as well as the limited working time of the doctor. The improvement of materials and restoration techniques made it possible to meet the high aesthetic requirements of patients. So, the vast majority of people expect a dentist to create so-called invisible restorations. Patients are interested in preserving more tooth tissues and want to take part in choosing the color and shape of future work. They also set the dentist the task of predicting the final result even before the start of treatment. Therefore, it is important for a doctor to keep up with the development of new technologies and improve his manual skills, improving the quality of restorations. Dentists often face a choice between direct and indirect methods of restoring the teeth of the frontal group. The most common causes of dental injuries are falls and bumps. Mainly the upper central incisors suffer, most often there is an uncomplicated fracture of the crown parts of these teeth (without opening the tooth cavity). Many materials and methods are used to restore the front teeth after injury. The possibilities of adhesive dentistry allow to restore the natural appearance of teeth with almost complete preservation of intact hard tissues. We describe recommendations for the use of composite restorations for conservative restoration of injured teeth.
复合部分冠修复门牙损伤
牙科治疗师在临床实践中经常需要使用复合材料对前牙组进行美观修复。随着材料和工具的改进,对额骨组牙科治疗的要求也越来越高。在牙科实验室条件下重建牙齿美学的方法并不总是适用于治疗性牙科的临床应用。这是由于在口腔中进行修复的特殊性,复合材料的特性以及医生有限的工作时间。材料和修复技术的改进使其能够满足患者的高审美要求。所以,绝大多数人都希望牙医能做所谓的隐形修复。患者有兴趣保留更多的牙齿组织,并希望参与选择未来工作的颜色和形状。他们还让牙医在治疗开始前就预测最终结果。因此,对于医生来说,跟上新技术的发展,提高自己的手工技能,提高修复体的质量是很重要的。牙医经常面临直接或间接修复额牙组牙齿的选择。牙齿受伤最常见的原因是跌倒和碰撞。主要是上中门牙受损,大多数情况下,这些牙齿的冠部分没有复杂的断裂(没有打开牙腔)。门牙损伤后的修复采用了多种材料和方法。粘接剂牙科的可能性允许恢复牙齿的自然外观,几乎完全保存完整的硬组织。我们描述了使用复合修复体保守修复损伤牙齿的建议。
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