PMC4087277_01
Preoperative view of patient's smile with cleidocranial dysplasia before orthodontic treatment.
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Medical history revealed that orthodontics and maxillofacial surgery were previously involved (Figures 1(a) and 1(b)).
Preoperative view of patient's smile with cleidocranial dysplasia after orthodontic treatment.
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In addition, the gingival contouring was evaluated and considered to be not reproducing the harmonious architecture (Figures 2 and 3).
Close-up view of the anterior teeth after orthodontic treatment. Note the compromised aesthetics due to enamel hypoplasia and anatomic discrepancies of form, shape, and color.
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In addition, the gingival contouring was evaluated and considered to be not reproducing the harmonious architecture (Figures 2 and 3).
After rubber dam placement, application of the microabrasive product on the surface of the stained enamel with intermittent appliance.
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And so with the aid of a synthetic rubber and gear reduction angle superficial enamel discoloration was removed after two applications (Figure 4).
After application of hydrogen peroxide gel on the surface of the anterior teeth in agreement with the immediate bleaching procedure, remodeling by grinding of the supernumerary enamel's surface with 3203# bur.
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After the microabrasion technique and bleaching treatment, a remodeling by grinding was performed at the buccal face of the supernumerary teeth (Figure 5) and left central incisor.
Dental model for remodeling planning according to "the Golden Proportion."
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The restorative planning with supplementary grinding and the addition of material was executed in accordance with the Golden Proportion model (Figure 6).
Simplified technique for rubber dam placement and acid etching at restricted points of the enamel surface was performed to diagnostic mock-up and tissue conditioning.
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An acid etching was performed at restricted points of the enamel surface (Figures 7, 8, and 9).
Following the grinding of the upper left central incisor with diamond disk to improve symmetry across the midline and tooth discrepancies.
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An acid etching was performed at restricted points of the enamel surface (Figures 7, 8, and 9).
Mock-up with composite resin.
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An acid etching was performed at restricted points of the enamel surface (Figures 7, 8, and 9).
Close-up view of the anterior teeth after finishing and polishing the direct adhesive restorations.
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Final restorations can be observed in Figures 10 and 11.
The harmony of the dental composition and the smile was reestablished after remodeling management.
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Final restorations can be observed in Figures 10 and 11.