A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation

Objective: Optimal tooth reduction is a key requirement for aesthetics, function, and the longevity of fixed restorations. Research has demonstrated that controlled and conservative tooth preparation is crucial for the long-term success of adhesive restorations. Different techniques of fabricating r...

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Autores principales: Carlos Alberto Jurado, Saad AlResayes, Mohammed Edrees Sayed, Jose Villalobos-Tinoco, Nayely Llanes-Urias, Akimasa Tsujimoto
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Lenguaje:EN
Publicado: Elsevier 2021
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spelling oai:doaj.org-article:e2855bf60ca64399b9133832f207ad022021-11-10T04:19:47ZA customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation1013-905210.1016/j.sdentj.2020.09.004https://doaj.org/article/e2855bf60ca64399b9133832f207ad022021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1013905220307720https://doaj.org/toc/1013-9052Objective: Optimal tooth reduction is a key requirement for aesthetics, function, and the longevity of fixed restorations. Research has demonstrated that controlled and conservative tooth preparation is crucial for the long-term success of adhesive restorations. Different techniques of fabricating reduction guides have been previously reported in literature. The present technical note describes the fabrication technique and clinical application of a customized metal preparation reduction guide. Material and method: Patient presented with tilted maxillary left central incisor. The flared-out part of the tooth was modified prior to veneer restoration preparation. Resin pattern reduction guide was fabricated on the diagnostic cast with a window on the tilted mesial portion of the tooth. After intraoral evaluation, resin pattern guide was casted. Metal reduction guide was place intraorally and reduction was provided on the exposed surface of the tooth. After the removal of the tilted portion, a harmonious arch form allowed the clinician to provide adequate evaluation and preparation for veneer restorations. Results: The device demonstrated good practical value, allowing for selective and controlled reduction of tooth structure, and definitive protection of adjacent tooth surfaces from iatrogenic damage. The clinical outcome successfully addressed the patient’s restorative and aesthetic needs, and the veneer was stable 2 years postoperatively. Conclusion: Use of a metal guide assists clinicians to provide a more predictable reduction of a desired tooth surface, while decreasing the risk of compromising the other/adjacent tooth surfaces.Carlos Alberto JuradoSaad AlResayesMohammed Edrees SayedJose Villalobos-TinocoNayely Llanes-UriasAkimasa TsujimotoElsevierarticleVeneersProsthodonticsEsthetic dentistryTooth preparationMedicineRDentistryRK1-715ENSaudi Dental Journal, Vol 33, Iss 7, Pp 518-523 (2021)
institution DOAJ
collection DOAJ
language EN
topic Veneers
Prosthodontics
Esthetic dentistry
Tooth preparation
Medicine
R
Dentistry
RK1-715
spellingShingle Veneers
Prosthodontics
Esthetic dentistry
Tooth preparation
Medicine
R
Dentistry
RK1-715
Carlos Alberto Jurado
Saad AlResayes
Mohammed Edrees Sayed
Jose Villalobos-Tinoco
Nayely Llanes-Urias
Akimasa Tsujimoto
A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
description Objective: Optimal tooth reduction is a key requirement for aesthetics, function, and the longevity of fixed restorations. Research has demonstrated that controlled and conservative tooth preparation is crucial for the long-term success of adhesive restorations. Different techniques of fabricating reduction guides have been previously reported in literature. The present technical note describes the fabrication technique and clinical application of a customized metal preparation reduction guide. Material and method: Patient presented with tilted maxillary left central incisor. The flared-out part of the tooth was modified prior to veneer restoration preparation. Resin pattern reduction guide was fabricated on the diagnostic cast with a window on the tilted mesial portion of the tooth. After intraoral evaluation, resin pattern guide was casted. Metal reduction guide was place intraorally and reduction was provided on the exposed surface of the tooth. After the removal of the tilted portion, a harmonious arch form allowed the clinician to provide adequate evaluation and preparation for veneer restorations. Results: The device demonstrated good practical value, allowing for selective and controlled reduction of tooth structure, and definitive protection of adjacent tooth surfaces from iatrogenic damage. The clinical outcome successfully addressed the patient’s restorative and aesthetic needs, and the veneer was stable 2 years postoperatively. Conclusion: Use of a metal guide assists clinicians to provide a more predictable reduction of a desired tooth surface, while decreasing the risk of compromising the other/adjacent tooth surfaces.
format article
author Carlos Alberto Jurado
Saad AlResayes
Mohammed Edrees Sayed
Jose Villalobos-Tinoco
Nayely Llanes-Urias
Akimasa Tsujimoto
author_facet Carlos Alberto Jurado
Saad AlResayes
Mohammed Edrees Sayed
Jose Villalobos-Tinoco
Nayely Llanes-Urias
Akimasa Tsujimoto
author_sort Carlos Alberto Jurado
title A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
title_short A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
title_full A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
title_fullStr A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
title_full_unstemmed A customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
title_sort customized metal guide for controllable modification of anterior teeth contour prior to minimally invasive preparation
publisher Elsevier
publishDate 2021
url https://doaj.org/article/e2855bf60ca64399b9133832f207ad02
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