title: Multidisciplinary approach to the establishment and maintenance of an esthetic smile: a 9-year follow-up case report.
abstract: In addition to providing functionality to patients, contemporary dentistry strives for esthetic excellence. Patients with anterior impairments, such as shape, size, and position alterations, have compromised smile harmony. A multidisciplinary orthodontic-operative dentistry approach has improved the treatment of these patients, since the use of orthodontic appliances in association with direct composite restorations can solve many esthetic problems. Although this treatment strategy is rather widespread, professional skills are necessary for the correct reproduction of the main features of teeth. Moreover, treatment success is directly related to its longevity. With the aid of a 9-year follow-up case report, a simple direct technique associated with an orthodontic treatment for restoring the esthetic appearance of an impaired smile, with good short- and long-term outcomes, based on minimal but essential esthetic repair interventions is discussed. Such coordinated treatment proved to be effective for the establishment and maintenance of an esthetic and pleasant smile.
authors.affiliation: Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São, Paulo, Brazil. luff@usp.br
authors.forename: Luciana Fávaro
authors.initials: LF
authors.lastname: Francisconi
authors.forename: Maria Cristina Carvalho de Almendra
authors.initials: MC
authors.lastname: Freitas
authors.forename: Paula Vanessa Pedron
authors.initials: PV
authors.lastname: Oltramari-Navarro
authors.forename: Lawrence Gonzaga
authors.initials: LG
authors.lastname: Lopes
authors.forename: Paulo Afonso Silveira
authors.initials: PA
authors.lastname: Francisconi
authors.forename: Rafael Francisco Lia
authors.initials: RF
authors.lastname: Mondelli
mesh_terms: D000293:Adolescent; D003188:Composite Resins / Q000627:therapeutic use; D003793:Dental Restoration, Permanent / Q000379:methods*; D003970:Diastema / Q000628:therapy*; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019516:Orthodontic Space Closure; D010348:Patient Care Team; D012904:Smiling; D014071:Tooth Abnormalities / Q000628:therapy*; D014073:Tooth Bleaching; D014081:Tooth Extraction
chemical_list: D003188:Composite Resins