Treatment of a Bruxism Patient with Minimally Invasive Restorations: a Case Report
Introduction: Bruxism is an oral condition associated with numerous clinical problems. It is defined as "an oral habit consisting of rhythmic or spasmodic grinding or clenching of the teeth during non-masticatory movements, which can cause occlusal trauma". Objectives: To describe the foll...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | México |
| Institución: | UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO |
| Repositorio: | Revista Odontológica Mexicana |
| Idioma: | español inglés |
| OAI Identifier: | oai:ojs.pkp.sfu.ca:article/80392 |
| Acceso en línea: | https://revistas.unam.mx/index.php/rom/article/view/80392 |
| Access Level: | acceso abierto |
| Palabra clave: | perdida de sustancia dental Bruxismo Restauraciones adheridad Mínimamente invasiva disilicato de litio Tooth wear Bruxism Bonded restorations minimally invasive lithium disilicate |
| Sumario: | Introduction: Bruxism is an oral condition associated with numerous clinical problems. It is defined as "an oral habit consisting of rhythmic or spasmodic grinding or clenching of the teeth during non-masticatory movements, which can cause occlusal trauma". Objectives: To describe the follow-up of a patient with awake and sleep bruxism, with generalised loss of dental substance. Case presentation: Generalised loss of tooth substance associated with bruxism was diagnosed, as well as decreased vertical dimension of occlusion. The treatment was divided into 4 phases. First phase: Diagnostic models, radiographs and photographs were taken. Second phase: The wax-up was evaluated by means of a diagnostic mock-up, observing the facial harmony and patient acceptance. Third phase: The pieces were prepared, the final impression was taken, and the provisional restorations were placed, which were kept in the mouth for 2 weeks to verify the patient's adaptation. Fourth phase: The partial restorations were cemented, and an occlusal splint was placed. The patient had a correct adaptation to the new vertical dimension of occlusion, the aesthetic, biological and functional objectives were met, and the parafunction was treated. Conclusions: Minimally invasive restorations prove to be a comfortable, quick and painless option that meets aesthetic, biological and functional requirements. |
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