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Analysis of results of treatment of patients with discolored teeth using different types of lumineers and composite veneers
Abstract
The aim of the study was to study the results of treatment of patients with discolored teeth using various types of lumineers and composite veneers.
Materials and methods. The study involved patients with discoloration of the teeth who underwent dental treatment: in group I (n = 10) – using lumineers made of ceranite ceramics, in group II (n = 10) – using modified lumineers made from lithium disilicate, in the group III (n = 20) – using composite veneers. The duration of follow-up after treatment was 24 months.
Results. According to the results of a two-year observation, and analysis of the effectiveness of treatment using lumineers made of ceramite ceramics Lumineers by Cerinate (USA), using modified lumineers made of lithium disilicate IPS e.max Press (Liechtenstein) and using IPS Empress direct (Liechtenstein) composite veneers was higher in the group using lumineers compared to composite veneers, but these differences were not statistically significant. Also, there were no statistically significant differences when using lumineers made of ceranite ceramics and modified lumineers made of lithium disilicate.
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In the article stated mechanism of formation organic and inorganic pigmentary complexes which changes color of teeth. Chemical aspects of dentistry procedure of whitening teeth are consider, original author's schemes of ion-changes and oxidative process are given, which happen with it. Knowledge of intermolecular interaction, which leads to the appearance of coloration and proceeding in process of his removal, will allow to develop new treatment methods and to improve existing, which apply in an esthetic dentistry.
This clinical report describes an 8-year follow-up evaluation using different thicknesses of porcelain laminate veneers of diastema and malformed anterior teeth. Minimally invasive treatment with no preparation or minimal reduction options could be considered and chosen based on the characteristics of each case. Laminate veneers with or without reduction can offer an excellent result regarding esthetics and function. Despite its failure without reduction, this treatment is indicated because it can be applied regardless of the structure of the teeth. At first, no tooth preparation with rotatory instruments was performed, and porcelain laminates of minimum thickness were made for the four maxillary anterior teeth. After 6 years, the adhesive interfaces were stained, and the patient was unsatisfied with the esthetics of her smile. Therefore, at that time, the professional decided to prepare the anterior teeth for porcelain laminate veneers. Diastema closure and/or correction of malformed anterior teeth using porcelain laminate veneers is a viable option for the clinician because it restores esthetic harmony. The patient was very pleased with the new laminate veneers. © 2018 European Journal of Dentistry | Published by Wolters Kluwer - Medknow.
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