6533b82bfe1ef96bd128d717

RESEARCH PRODUCT

Ceramic veneers on central incisors without finish line using bopt in a case with gingival asymmetry

Helia PerisAlberto FerreiroaPablo G CogolludoLaura Godoy

subject

OrthodonticsProsthetic DentistryIncisivoComputer scienceCoronas con frente estéticoMaterial sanitarioBone crestCase ReportOdontologíaFinish line:CIENCIAS MÉDICAS [UNESCO]EstéticaUNESCO::CIENCIAS MÉDICASMaxillary central incisorClinical caseGeneral DentistryGingival margin

description

Objectives This clinical case report describes the rehabilitation of central incisors with veneers in a patient with gingival asymmetry. The teeth were prepared without finish line, applying BOPT concepts to correct asymmetry, and obtained a harmoniously integrated restoration with optimal periodontal health. Clinical implications Biologically oriented preparation technique (vertical or “feather edge” preparation) was used to obtain gingival symmetry. Teeth were prepared without horizontal finish line to achieve correct emergence, soft tissue adaptation and stabilization, while maintaining biological space, both at the provisional restoration stage and later when definitive restorations were placed. To perform the technique correctly, it is essential to perform adequate periodontal diagnosis to verify the space available between the bone crest and the future margin of the restoration. Conclusions It is possible to correct gingival asymmetry by performing dental preparation without finish line providing a correct periodontal analysis is first performed, which will contribute to successful soft tissue stabilization. Clinical Significance Beyond of all the prosthodontic preparation techniques, knowledge of B.O.P.T. (Biological Oriented Preparation Technique) allows us to achieve predictable and consistent results in terms of periodontal health and gingiva architecture surrounding ceramic veneers. Nevertheless long term studies are necessary to ensure the benefits of this techniques. Sin financiación No data JCR 2019 0.432 SJR (2019) Q2, 62/148 Dentistry (miscellaneous) No data IDR 2019 UEM

10.4317/jced.55688http://hdl.handle.net/11268/10839