Mastery of Aesthetic and Functional Restoration of Maxillary Molars Using the Technique of Direct Restoration (Clinical Case)
DOI:
https://doi.org/10.33295/1992-576X-2025-2-67Keywords:
CARE guideline, clinical case, caries, gingivitis, aesthetics, restorationAbstract
Relevance. Hublishing articles about clinical cases plays an important role, occupies a specific position, and has its purpose in modern medical science and education. Writing articles on clinical cases is especially relevant for students and young scientists, as they are often their first step in the vast journalistic world of medical science.
Aim: increase the effectiveness of the educational process through the practical implementation of theoretical knowledge and clinical thinking in the diagnosis and treatment of gingivitis and caries by creating direct artistic restorations of molars to restore the aesthetics and functionality of the dentition.
Material and methods. Students of the Faculty of Dentistry of the Bogomolets National Medical University, under the mentoring of the scientific supervisor of the Department of Therapeutic Dentistry, conducted a comprehensive examination and created a treatment and prevention program for patient K., who applied for oral cavity rehabilitation in December 2024. Patient K., 22 years old, female, student, Kyiv. Research methods: clinical, laboratory (radiological), empirical.
Results. According to the results of clinical examination methods, the caries intensity index of the checkpoint was 15, which corresponds to a high level. The O’Leary oral hygiene level was 92%. The results of basic periodontal screening: BOP bleeding index 81%, PPD < 3.5 mm, PSR: code 2. The results of an empirical study (questionnaire) revealed a low level of medical dental awareness. The primary individual risk factors for caries and periodontal tissue diseases of local and general significance were analyzed. Based on the results of clinical and X-ray examination methods, the following diseases were diagnosed: ‘Caries’ of 17, 16, 15 teeth and ‘Gingivitis induced by dental biofilm’. A personalized, comprehensive treatment and prevention program plan was drawn up following modern treatment protocols.
Conclusions. It is recommended that students actively involve themselves in developing clinical skills during practical training. This significantly increases the efficiency of the educational process at the university and allows it to become more competitive in the professional environment.
Downloads
References
Kolenko, Y.G., Volovyk, I.A. (2025). Modern approach to the description of clinical cases in evidence-based medicine. Actual Dentistry, 1, 60–67. [ Коленко, Ю.Г., Воловик, І.А. (2025). Сучасний підхід до опису клінічних випадків у доказовій медицині. Сучасна стоматологія, 1, 60–67. ]. DOI: https://doi.org/10.33295/1992-576X-2025-1-60.
Kolenko, Y.G., Lytvyn, T.V. (2018). Application of highly filled composite for masticatory group of teeth. Actual Dentistry, 2, 14–16. [ Коленко, Ю.Г., Литвин, Т.В. (2018). Применение высоконаполненного композита для жевательной группы зубов. Сучасна стоматологія, 2, 14–16. ]. DOI: https://doi.org/10.33295/1992-576X-2018-2-14-17.
Andressa Eveline de Lima Ribeiro, Joselúcia da Nóbrega Dias, Ana Margarida Dos Santos Melo, Boniek Castillo Dutra Borges, Isauremi Vieira de Assunção. (2022). Direct and semi-direct resin composite restoration in large cavity preparations: analysis of dentin bond strength stability and bottom/top microhardness ratio in a cavity model. Odontology, 110(3), 482–488. DOI: https://doi.org/10.1007/s10266-021-00680-7.
Banihashem Rad, S.A., Esteves-Oliveira, M., Maklennan, A., Douglas, G.V.A., Castiglia, P., Campus, G. (2024). Oral health inequalities in immigrant populations worldwide: A scoping review of dental caries and periodontal disease prevalence. BMC Public. Health., 24(1), 1968. DOI: https://doi.org/10.1186/s12889-024-19354-4.
Borisenko, A.V., Volovik, I.A. (2016). Condition of dental status in young people depending on the presence of periodontal diseases. Actual Dentistry, 1, 28–34. [ Борисенко, А.В., Воловик, И.А. (2016). Состояние стоматологического статуса у лиц молодого возраста в зависимости от наличия заболеваний пародонта. Современная стоматология, 1, 28–34. ]. URL: http://nbuv.gov.ua/UJRN/ss_2016_1_8.
Cardoso, J.A., Venuti, P., Almeida, P.J., Costa, R., Lapa, H.C., Afonso, L. (2023). Clinical guidelines for posterior restorations based on coverage, adhesion, resistance, esthetics, and subgingival management. The CARES concept: Part II — full-contour resistive crowns with vertical preparation. Int. J. Esthet. Dent., 18(4), 346–365. PMID: 37819563.
Carvalho, J.C., Schiffner, U. (2019). Dental caries in european adults and senior citizens 1996–2016: ORCA Saturday afternoon symposium in Greifswald, Germany — Part II. Caries. Res., 53(3), 242–252. DOI: https://doi.org/10.1159/000492676.
Demarco, F.F., Cenci, M.S., Montagner, A.F., de Lima, V.P., Correa, M.B., Moraes, R.R., Opdam, N.J.M. (2023). Longevity of composite restorations is definitely not only about materials. Dent. Mater., 39(1), 1–12. DOI: https://doi.org/10.1016/j.dental.2022.11.009.
García-Doval, I., Albrecht, J., Flohr, C., Batchelor, J., Ingram, J.R.; European Dermato-Epidemiology Network (EDEN) (2018). Optimizing case reports and case series: guidance on how to improve quality. Br. J. Dermatol., 178(6), 1257–1262. DOI: https://doi.org/10.1111/bjd.16467.
Cardoso, J.A., Almeida, P.J., Negrão, R., Oliveira J.V., Venuti, P., Taveira, T., Sezinando, A. (2023). Clinical guidelines for posterior restorations based on coverage, adhesion, resistance, esthetics, and subgingival management. The CARES concept: Part I — partial adhesive restorations. Int. J. Esthet. Dent., 18(3), 244–265. PMID: 37462378.
Kolenko, Y., Volovyk, I., Vatankha, T., Gryg, N., Kolesova, N., Dementeva, E. (2025). Evaluation of associations between oral health status and psycho-emotional stress among young people in Ukraine. Bul. Stomatol. Maxillofac. Surg., 21(1), 36–44. DOI: https://doi.org/10.58240/1829006X-2025.1-36.
Kolenko, Y.G., Volovyk, I.A, Voronina, I.E., Dementieva, O.V., Chumak, E.A. (2024). The influence of the psychosocial stress on oral health status in the conditions of being in Ukraine during the prolonged state of martial law. Wiad. Lek., 77(8), 1593–1602. DOI: https://doi.org/10.36740/WLek202408109.
Kolenko, Y.G., Volovyk, I.A., Myalkivskij, K.O. (2021). The influence of periodont tissue diseases on the quality of life of patients. Actual Dentistry, 2, 36–42. [ Коленко, Ю.Г., Воловик, І.А., Мялківський, К.О. Вплив захворювань тканин пародонта на якість життя пацієнтів. Сучасна стоматологія, 2, 36–42. ]. DOI: https://doi.org/0.33295/1992-576X-2021-2-36.
Carneiro, E.R., Paula, A., Saraiva, J., Coelho, A., Amaro, I., Marto, C.M., Ferreira, M.M., Carrilho, E. (2021). Aesthetic restoration of posterior teeth using different occlusal matrix techniques. Br. Dent. J., 231(2), 88–92. DOI: https://doi.org/10.1038/s41415-021-3225-3.
Lorenz, J., Wilhelm, C., Urich, J., Weigl, P., Sader, R. (2024). Different esthetic assessment of anterior restorations by patient and expert: A prospective clinical study. J. Esthet. Restor. Dent., Dec 26. DOI: https://doi.org/10.1111/jerd.13398.
Pizzolotto, L., Moraes, R.R. (2022). Resin composites in posterior teeth: Clinical performance and direct restorative techniques. Dent. J. (Basel), 10(12), 222. DOI: https://doi.org/10.3390/dj10120222.
Francisconi-Dos-Rios, L.F., Oliveira Tavares, J.A., Oliveira, L., Moreira, J.C., Nahsan, F.P.S. (2020). Functional and aesthetic rehabilitation in posterior tooth with bulk-fill resin composite and occlusal matrix. Restor. Dent. Endod., 45(1), e9. DOI: https://doi.org/10.5395/rde.2020.45.e9.
Maciel, C.M., Baroudi, K., Costa, L.D.C., Souto, T.C.V., Pino Vitti, R. (2022). Longevity of resin composite and amalgam posterior restorations: A systematic review. Eur. J. Prosthodont. Restor. Dent., 30(4), 267–275. DOI: https://doi.org/10.1922/EJPRD_2371Maciel09.
Peres, M.A., Macpherson, L.M.D., Weyant, R.J., Daly, B., Venturelli, R., Mathur, M.R. et al. (2019). Oral diseases: A global public health challenge. Lancet, 394(10194), 249–260. DOI: https://doi.org/10.1016/S0140-6736(19)31146-8.
Qin, X., Zi, H., Zeng, X. (2022). Changes in the global burden of untreated dental caries from 1990 to 2019: A systematic analysis for the Global Burden of Disease study. Heliyon, 8(9), e10714. DOI: https://doi.org/10.1016/j.heliyon.2022.e10714.
Rødseth, S.C., Høvik, H., Schuller, A.A., Bjertness, E., Skudutyte-Rysstad, R. (2023). Dental caries in a Norwegian adult population, the HUNT4 oral health study; prevalence, distribution and 45-year trends. Acta Odontol. Scand., 81(3), 202–210. DOI: https://doi.org/10.1080/00016357.2022.2117735.
Banihashem Rad, S.A., Oliveira, M.E., Maklennan, A., Castiglia, P., Campus, G. (2023). Higher prevalence of dental caries and periodontal problems among refugees: A scoping review. J. Glob. Health., 13, 04111. DOI: https://doi.org/10.7189/jogh.13.04111.
Heintze, S.D., Loguercio, A.D., Hanzen, T.A., Reis, A., Rousson, V. (2022). Clinical efficacy of resin-based direct posterior restorations and glass-ionomer restorations — An updated meta-analysis of clinical outcome parameters. Dent. Mater., 38(5), e109-e135. DOI: https://doi.org/10.1016/j.dental.2021.10.018.
Taheri, A., Adibi, P., Abbasi, A., Sabbagh Jaffari, M., Rahimi, A. (2023). Analysis of the reporting requirements of clinical case reports dedicated journals: towards updating the CARE guideline. Adv. Biomed. Res., 12, 41. DOI: https://doi.org/10.4103/abr.abr_391_21.
Vertuan, M., Mosquim, V., Guimarães, G.M.F., Obeid, A.T., Bombonatti, J.F.S., Ishikiriama, S.K., Furuse, A.Y. (2023). The stamp technique for direct restoration in a ICDAS 4 carious lesion: A 4-year follow-up. J. Esthet. Restor. Dent., 35(3), 442–448. DOI: https://doi.org/10.1111/jerd.12963.
Global oral health status report: towards universal health coverage for oral health by 2030: executive summary. (2022). World Health Organization. URL: https://www.moh.gov.cy/moh/ds/ds.nsf/9C5AED537E4CBB5CC22582B9002F0F50/$file/Global%20Oral%20Health%20Report.pdf.
Woelber, J.P., Vach, K. (2023). Healthier smile: the role of diet and nutrition in the prevention and therapy of caries, gingivitis, and periodontitis. Nutrients, 15(20), 4319. DOI: https://doi.org/10.3390/nu15204319.
Chapple, I.L.C., Mealey B.L., Van Dyke ,T.E., Bartold, P.M., Dommisch, H., Eickholz, P. et al. (2018). Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J. Clin. Periodontol., 45, S68–S77. DOI: https://doi.org/10.1002/JPER.17-0719.
Карієс зубів: клінічна настанова, заснована на доказах (2024). URL: https://www.dec.gov.ua/wp-content/uploads/2024/05/2024_kn_kariyes_zubiv.pdf.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 “VYDAVNYCHYY BUDYNOK EXPERT” LLC
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
