Immediate aesthetic from composite materials

Za estetski zadovoljavajući osmijeh potrebno je primjeniti osnovne kriterije estetike. Svrha ovog rada je bila prikazati na slučaju navedene pacijentice koji su za estetiku bitni postupci korišteni tijekom izrade prednjih zuba, što se istima uspjelo postići a ujedno ukazati i na učinjene greške. U ovom radu su obrađena osnovna pravila-kriteriji u estetskoj dentalnoj medicini i prikazani su na kliničkom slučaju 49-godišnje pacijentice, koja je zatražila pomoć zbog: narušene estetike u frontalnom području gornje čeljusti, bolova u temporomandibularnom zglobu i stiskanja zubi tijekom dana i noću. Plan terapije je bio pacijentici podići zagriz zbog dubokog zagriza koji je nastao uslijed stiskanja zubi, izraditi privremeno estetsko rješenje od kompozitnih materijala i nagrizne relaksacijske udlage. Uspjelo se postići smanjenje bolova u TMZ, bolju estetiku donje trećine lica i osmijeha, prevenciju trošenja zubne strukture, smanjenje stiskanja zubi i najbitnije što je navedeni postupak rezultirao zadovoljstvom pacijentice. Nakon terapije se pokazalo da je najbitnije poštivati pravilo linije osmijeha, incizalne duljine, podudaranje sredine zubnog luka i obraza, pravilno slojevanje kompozita, korištenje transparentnih boja, pravilno poliranje završne preparacije te upotreba silikonskog ključa. Postoji poslovica ¨Ljepota je u očima promatrača¨ koja nam nameće da ne postoje univerzalni kriteriji što je ljepota. Zato je u estetskoj stomatologiji bitna suradnja sa pacijentom, jer ćemo samo tako zadovoljiti njegova očekivanja.For an aesthetically pleasing smile it is necessary to know the basic criteria of aesthetics. This thesis deals with the basic rules or criteria in cosmetic dental medicine and presents it on a clinical case of a 49-year-old female patient who has requested assistance due to the compromised aesthetics in the frontal area of the upper jaw, pain in the temporomandibular joint and clenching of teeth during the day and at night. The treatment plan was for the patient's bite to be lifted because of the deep bite, which was the result of the teeth clenching, making a temporary aesthetic restoration from composite materials and making a biting relaxation splint. Finally the above stated treatment achieved following: a reduction of pain in the temporomandibular joint, better aesthetics of the lower third of the face and smile detection, prevention of tooth wear, reducing clenching teeth and patient satisfaction. The aim of this thesis is to present on the clinical case of the patient in question, which aesthetic rules have to be taken into consideration when making front teeth restorations. It is also to show what progress has been achieved and what mistakes have been made. After the therapy, it was observed that it is most important to consider the smiling line, incisal length, the symmetry of the middle teeth line and the face line, proper layering of the composite materials, the use of transparent colours, a proper polishing of the final preparation and the use of the silicone key. There is a saying "Beauty is in the eye of the beholder," which implies that there is no universal criteria of beauty. That is why in aesthetic dentistry it is important to cooperate with the patient, because this is the only way to meet his or her expectations