title: Rehabilitation of periodontally compromised teeth with fiber-reinforced composite resin: a case report.
abstract: The rehabilitation of prosthetic spaces resulting from severe periodontitis represents a challenge in terms of functional and esthetic aspects. Generally, tooth extraction is followed by alveolar ridge volume reduction, which increases the esthetic problem. The aim of this article is to report the integration of esthetics and functional parameters in the oral rehabilitation of extracted periodontally compromised mandibular central incisors through the construction of a direct glass fiber-reinforced composite fixed partial denture (DFPD). After periodontal therapy, the patient received a periodontal subepithelial graft, enabling an increase in the thickness and height of the alveolar ridge. The DFPD was fabricated with the use of extracted teeth. Mandibular canines and lateral incisors received cavities 2 mm deep and wide. After fiber insertion, tooth adaptation, and composite resin coverage, the teeth were finished and polished. Results showed an excellent esthetic result with stabilization and function of the remaining periodontally affected teeth.
authors.affiliation: Health Sciences Center, Operative Dentistry Department, State University of Londrina, Londrina, Brazil. hoeppner@uol.com.br
authors.forename: Márcio Grama
authors.initials: MG
authors.lastname: Hoeppner
authors.forename: Rodrigo Borges
authors.initials: RB
authors.lastname: Fonseca
authors.forename: Eduardo Augusto
authors.initials: EA
authors.lastname: Pfau
authors.forename: Flávio Roberto Machado
authors.initials: FR
authors.lastname: Justo
authors.forename: Alexandre
authors.initials: A
authors.lastname: Fávero
authors.forename: Laerte Luiz
authors.initials: LL
authors.lastname: Bremm
mesh_terms: D000328:Adult; D010520:Aggressive Periodontitis / Q000534:rehabilitation* / Q000601:surgery; D016301:Alveolar Bone Loss / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery; D003188:Composite Resins; D003238:Connective Tissue / Q000637:transplantation; D003779:Denture Design; D003830:Denture, Partial, Fixed; D004955:Esthetics, Dental; D005260:Female; D005893:Gingivoplasty / Q000379:methods*; D005898:Glass; D006801:Humans; D007180:Incisor; D008334:Mandible; D010516:Periodontal Splints; D014081:Tooth Extraction / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D003188:Composite Resins; C009753:fiberglass