Camouflaging A Darkened Substrate with Composite Resin - Case Report
Abstract:
Today, the pursuit of beauty is not limited to external features. There has been a considerable focus on dental aesthetics, with a large number of individuals aspiring to perfectly beautiful smiles. The aim of this article is to understand the effectiveness of opacifying pigments and composite resins as a direct form of restoration in concealing discolored dental substrates. To achieve this objective, a case study was conducted with a 45-year-old female patient who sought care at Clínica Santa Bárbara due to dissatisfaction with the appearance of her teeth, which were discolored. After a thorough examination, the most appropriate and cost-effective treatment plan to achieve the desired result was determined. Ultimately, the patient's crown was replaced with an opaque one on the central incisor (Tooth 11), resulting in a restored and harmonious aesthetic that improved her quality of life. One of the greatest challenges in creating direct veneers on discolored teeth involves concealing the modified substrate. To combat the undesirable outcome of tooth discoloration, dental professionals have two options: increase tooth wear or take a more conservative approach with opacifiers. Opacifiers are defined as resins that can block light transmission and hide unwanted color on the surface of teeth. Overall, an accurate diagnosis of tooth discoloration, as well as experience in handling and knowledge of opacifying agents, are crucial to achieving a natural-looking smile and successful treatment with direct veneers on anterior teeth. The use of opacifying resins is a complementary technique to direct veneers on discolored teeth and has shown promising results.
