Extended coronal destruction of a lower molar, already undergoing canal therapy (devitalisation) and direct restoration therapy, both inadequate. The restoration carried out with direct technique after vestibular gingivectomy is, for aesthetic requirements, completely comparable to an indirect technique (intarsia).
The restoration of aesthetics was achieved by using an anatomical layering technique with high-quality composite resin. The diastema was, as you can see, present even before the fracture and could possibly be eliminated in the future with the application of two veneers (indirect restoration).
Unlike in the previous case, one of the two incisors, the right, was affected by a fracture of such depth that the flesh was exposed and, therefore, the pulp was devitalised before the two direct restorations were carried out.
At the end of orthodontic therapy, there was ample space left between the incisors, corrected with additive dentistry, a technique based on the use of composite resin not already used for restoration, but rather to enlarge the teeth.
Severe mandibular retrusion in 12-year-old patient, corrected with mobile equipment to promote mandibular growth. After 2 years, the discrepancy between maxillary growth and mandibular growth is completely eliminated. Myofunction therapy has been associated with orthodontic therapy.
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The severe maxillary crowding imposed on the mandible, a backward position; after having corrected the maxillary and mandibular crowding with fixed equipment, we proceeded with a functional orthodontic therapy cycle based on the use of mobile equipment designed to stimulate mandibular growth. This case has also been treated with myofunction therapy.
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