case_images: PMC4087277_01
case_images: Preoperative view of patient's smile with cleidocranial dysplasia before orthodontic treatment.
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case_images: fig1
case_images: Medical history revealed that orthodontics and maxillofacial surgery were previously involved (Figures 1(a) and 1(b)).
case_images: Preoperative view of patient's smile with cleidocranial dysplasia after orthodontic treatment.
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case_images: fig2
case_images: In addition, the gingival contouring was evaluated and considered to be not reproducing the harmonious architecture (Figures 2 and 3).
case_images: Close-up view of the anterior teeth after orthodontic treatment. Note the compromised aesthetics due to enamel hypoplasia and anatomic discrepancies of form, shape, and color.
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case_images: fig3
case_images: In addition, the gingival contouring was evaluated and considered to be not reproducing the harmonious architecture (Figures 2 and 3).
case_images: After rubber dam placement, application of the microabrasive product on the surface of the stained enamel with intermittent appliance.
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case_images: fig4
case_images: And so with the aid of a synthetic rubber and gear reduction angle superficial enamel discoloration was removed after two applications (Figure 4).
case_images: After application of hydrogen peroxide gel on the surface of the anterior teeth in agreement with the immediate bleaching procedure, remodeling by grinding of the supernumerary enamel's surface with 3203# bur.
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case_images: fig5
case_images: After the microabrasion technique and bleaching treatment, a remodeling by grinding was performed at the buccal face of the supernumerary teeth (Figure 5) and left central incisor.
case_images: Dental model for remodeling planning according to "the Golden Proportion."
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case_images: fig6
case_images: The restorative planning with supplementary grinding and the addition of material was executed in accordance with the Golden Proportion model (Figure 6).
case_images: Simplified technique for rubber dam placement and acid etching at restricted points of the enamel surface was performed to diagnostic mock-up and tissue conditioning.
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case_images: fig7
case_images: An acid etching was performed at restricted points of the enamel surface (Figures 7, 8, and 9).
case_images: Following the grinding of the upper left central incisor with diamond disk to improve symmetry across the midline and tooth discrepancies.
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case_images: fig8
case_images: An acid etching was performed at restricted points of the enamel surface (Figures 7, 8, and 9).
case_images: Mock-up with composite resin.
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case_images: fig9
case_images: An acid etching was performed at restricted points of the enamel surface (Figures 7, 8, and 9).
case_images: Close-up view of the anterior teeth after finishing and polishing the direct adhesive restorations.
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case_images: fig10
case_images: Final restorations can be observed in Figures 10 and 11.
case_images: The harmony of the dental composition and the smile was reestablished after remodeling management.
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case_images: fig11
case_images: Final restorations can be observed in Figures 10 and 11.