Abstract

VELIZ VACA, Violeta.   Anterior dental guide reestablishment by direct restorations. Gac Med Bol [online]. 2018, vol.41, n.2, pp.21-23. ISSN 1012-2966.

Objetive: to evaluate the de-occlusion presence in molar teeth during the excursion movements, after the reinstatement  of  the anterior dental guide, to give occlusal and aesthetic stability to female patients who attend the clinic of Oral and Aesthetic Rehabilitation Clinic of  Universidad Mayor de San Simon. Methods: the current research is a descriptive and transversal type. The subject of study were female patients, that attend the Postgraduate Clinic Oral and Aesthetic Rehabilitation of  San Simon University who have a pathological tooth wear  in canino teeth, and incisive teeth during 2016 administration. Results: it is shown the presence of the de occlusion in 100% during the protrusive eccentric movements, 80% in eccentric movements of rigth laterality because of the non-existent tridimensional alignment (Wilson’s curve) in the right side. And 100% in eccentric  movements of the left laterality; the anterior dental guide was reinstated with light-curing resins. Conclusions: the anterior dental guide asa de-occlucsion factor in both movements, protrusive and lateral, is an important protection mechanism for the posterior teeth and for temporomandibular joint. It transcends the urgent need for the rehabilitation of it, in pathological tooth wear type I where the wear is less severe and there is no loss of vertical dimension of occlusion, with direct restorations, because there is less wear of dental structure. It is a reversible and aesthetic treatment and it generates adequate functional results.

Keywords : dental occlusion; tooth wear; canine tooth; incisor; molar tooth.

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