Smile modification in odontopediatrics: minimal invasive aesthetic solution for a complex case

Clinical case's description: A 15-year-old female patient institutionalized in a foster care went to the Dental Clinic of the University UCP-Viseu, under the "Pequenos Grandes Sorrisos" social program referring a discomfort in the 2nd quadrant. At the oral examination, agenesis of the teeth 1.2 and 2.2 was observed, with the permanence of 6.3 and a marked deviation of the upper dental middle line to the right. After extracting the 63 (urgency), a tooth that caused the discomfort, a treatment plan was drawn up. The ideal treatment would pass through a bi-maxillary orthodontic treatment. The patient's personal history and her particularities, that hypothesis had to be excluded. Was then proposed to perform a coronoplasty of the canines and increase of the central incisors. For planning were performed: photographic status, study models, and occlusal recording (Oclufast, Zhermack, Germany). Afterward was done a Digital Smile Design and sent to the laboratory for the diagnostic waxing. The mock-up allowed an aesthetic and functional evaluation. The restorations were done with composite resin (SynergieD6, Coltène, Switzerland) were performed, with the support of a transparent silicone mold (RegistradoClear, VOCO, Germany). Discussion: Orthodontic treatment would last at least two years. The patient is temporarily institutionalized and was looking for a quick and economical solution. Coronoplasties with individualized mock-ups can quickly solve some of the questions, particularly in the field of aesthetics in Pediatric Dentistry. Conclusion: The treatment plan must be molded to each patient. The limitations that he/she presents must be a motivation according to factor for solutions that meet the patient's objectives.info:eu-repo/semantics/publishedVersio

The evolution of autologous platelet concentrates : a narrative review

Purpose of the study: The goal of the study was to perform a general overview of the evolution of the autologous platelet concentrates (APC) and present the understanding of the different protocols and their benefits in clinical application and for patients in Dentistry. Development: With the advancement of science as well as laboratory tests in the context of platelet concentrates, it was possible to create protocols for autologous concentrates without the need for blood manipulation with astringent, called platelet-rich fibrin (PRF). With the development of the low-speed centrifugation concept, several protocols have been investigated and established, registering in its composition a greater number of cells of interest for tissue regeneration. Conclusion: The evolution of the APC and the different protocols arose with the need to improve these processes in the recruitment of cells of interest for better tissue regeneration.Objetivo do estudo: O objetivo do estudo foi realizar uma visão geral da evolução dos concentrados de plaquetas autólogas (APC) e apresentar o entendimento dos diferentes protocolos e seus benefícios na aplicação clínica e para pacientes em Medicina Dentária. Desenvolvimento: Com o avanço da ciência, bem como testes de laboratório no contexto de concentrados de plaquetas, foi possível criar protocolos para concentrados autólogos sem a necessidade de manipulação do sangue com adstringente, chamada fibrina rica em plaquetas (PRF). Com o desenvolvimento do conceito de centrifugação em baixa velocidade, vários protocolos foram investigados e estabelecidos, registrando em sua composição um maior número de células de interesse para a regeneração tecidual. Conclusão: A evolução da APC e os diferentes protocolos surgiram com a necessidade de melhorar esses processos no recrutamento de células de interesse para melhor regeneração tecidual