INTER-RELAÇÃO PERIODONTIA E DENTÍSTICA NA REABILITAÇÃO DE MOLAR INFERIOR SEVERAMENTE COMPROMETIDO: RELATO DE CASO

Abstract

Direct restorations in posterior teeth with extensive coronal destruction are a clinical challenge in restorative dentistry. Therefore, indirect composite resin restorations present an excellent cost-benefit option. When correctly indicated, they can reestablish form and function for teeth with loss of cusps, extensive proximal boxes in which it is difficult to establish a contact point, and subgingival ends. In addition, the indirect composite resin restoration technique allows polymerization to be performed in the extraoral environment, circumventing the problem of polymerization contraction that occurs in direct restorations. Another critical factor to be considered in subgingival cavities is the preservation of biological distances, thus promoting the maintenance of the health of periodontal tissues. This study aimed to report a clinical case integrating the two areas of dentistry, Periodontics and Dentistry. Thus, the use of a high-power diode laser for the surgical technique of gingivoplasty was described, as well as all the clinical steps involving indirect restoration in composite resin in the extensively destroyed element 46. The treatments proposed in the end were effective, restoring the form, function, and aesthetics of the dental element together with periodontal health, in addition to being able to treat the patient's main complaint.