Reabilitação estética com facetas em resina envolvendo diferente substratos: relato de caso

Abstract

INTRODUCTION: The aesthetic rehabilitation of patients with dental discoloration represents a common challenge in dental practice. Although several restorative techniques are available, composite resins stand out for their versatility, esthetics, and lower cost. In such cases, detailed planning is essential to achieve predictability and an adequate esthetic outcome. OBJECTIVE: To report a clinical case of aesthetic rehabilitation using direct composite resin veneers in a patient with discolored teeth. METHODOLOGY: The patient underwent clinical, radiographic, and photographic examinations, allowing functional and esthetic evaluation. Treatment began with in-office supervised bleaching using 35% hydrogen peroxide in four sessions, aimed at achieving uniform tooth color. Subsequently, intraoral scanning, digital model fabrication, and diagnostic wax-up were performed to plan the veneers for the maxillary anterior teeth. Based on the wax-up, a silicone wall and a palatal silicone guide were created to assist in tooth preparation and resin stratification. The veneers were built in layers, applying an opacifier on the darkened teeth and using resins with different shades and translucency levels. Finishing and polishing were performed with abrasive discs, rubber points, and interproximal strips, ensuring surface smoothness and natural gloss. RESULTS: The treatment enabled esthetic harmony of the smile, with significant improvement in the color and form of the anterior teeth. The combination of tooth bleaching and direct veneers proved effective in rehabilitating discolored teeth. CONCLUSION: Aesthetic rehabilitation with composite resin is a conservative, accessible, and efficient option for patients with dental discoloration, providing satisfactory and minimally invasive results.