IADR Abstract Archives

Full Arch Rehabilitation With the Flowable Injection Technique: a Case-Report

Objectives: Restorative treatment of tooth wear should be as conservative as possible. The aim of this case report is to present a full arch rehabilitation in two patients with moderate generalized tooth wear following the Flowable Injection Technique.
Methods: Two patients with generalized tooth wear presented on the Department of Restorative Dentistry. The first patient was an adolescent with excessive intake of Coca-Cola during several years. His main complaint was shortcoming in esthetics due to the shortening of the anterior teeth. The second patient, a 55 year old male patient, was a bruxist suffering from erosion from gastric reflux and excessive intake of acidic food. The plan was to restore the worn teeth in both patients with the Flowable Injection Technique. The next protocol was followed: 1. digital impression taken in centric relation, 2. digital wax-up of the worn teeth including an increase in the vertical dimension of occlusion, 3. fabrication of transparent silicone indices on the digital wax-up to transfer the situation of the wax-up intra-orally. After rubberdam isolation, the worn surfaces of the teeth to be restored were roughened by air abrasion (30 mm Al2O3), the adhesive system was applied, a highly filled flowable composite was injected throughout the transparent silicone indices and light cured. The worn teeth were restored quadrant by quadrant. The anterior teeth were build-up in the last session with either direct or a combination of direct and indirect restorations.
Results: By working in a digital way, the situation of the wax-up can be copied in an accurate and predictable way in the mouth of the patient, by injecting the flowable composite. Minimal corrections were needed to obtain a stable occlusion. After final finishing and polishing of the restorations, the esthetic result was highly acceptable. One-year follow up showed composite restorations with limited wear and high gloss retention
Conclusions: The Flowable Injection Technique is useful to restore patients with moderate tooth wear in a predictable way with an affordable cost for the patient. This technique is considered as a temporary treatment. Long term follow-up is required to evaluate the long-term stability of these injected composite restorations.

2021 Continental European and Scandinavian Divisions Meeting (Brussels, Belgium, Hybrid)
Brussels, Belgium, Hybrid
2021
0174
Clinical Case Reports
  • Swerts, Pieter-jan  ( Ku Leuven , Leuven , Belgium )
  • Peumans, Marleen  ( Ku Leuven , Leuven , Belgium )
  • NONE
    Poster Session ALL VIRTUAL
    Clinical Case Reports (all scientific fields)