To provide immediate esthetic rehabilitation for a young patient dissatisfied with her smile, while preserving her deciduous teeth.
Approach:
Patient Presentation: A 23-year-old female presented with low self-esteem linked to her smile, with clinical findings of retained primary teeth and agenesis of permanent successors.
Treatment Plan: The patient declined a proposed orthodontic and implant plan due to treatment duration and surgeries, leading to a conservative interim approach.
Esthetic Rehabilitation Process: After vital teeth bleaching, digital smile design, diagnostic wax-up, and intraoral mockup were performed, followed by the application of an adhesive system and injectable composite resin technique.
Key Findings:
Retained deciduous teeth can serve as a provisional foundation for esthetic improvement.
The injectable flowable composite technique allows for accurate reproduction of planned anatomy and efficient clinical time management.
Immediate improvement in smile harmony can positively impact patient self-esteem.
Interpretation:
The use of injectable composite resin techniques can provide effective esthetic solutions while postponing more invasive treatments.
Limitations:
The approach is interim and may not address underlying dental issues long-term.
The success of the esthetic rehabilitation is dependent on the condition of the retained deciduous teeth.
Conclusion:
The injectable composite resin technique offers a minimally invasive option for esthetic rehabilitation, enhancing patient satisfaction and self-esteem.