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Restauração dentária permanente
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Resumo
Objetivo: Relatar um caso clínico de tratamento de lesão endoperiodontal, seguido de restauração endocrown com resina impressa e proservação de 3 anos. Detalhamento do caso: Paciente adulto do sexo masculino apresentava extensa lesão periapical, perda óssea alveolar e destruição coronária associada ao dente 44. A terapia endodôntica foi realizada durante 30 dias, com trocas semanais de medicação intracanal após instrumentação biomecânica inicial. Exames radiográficos mostraram regressão significativa da lesão, permitindo raspagens periodontais e controle contra a formação de biofilme. Um ano depois, foi realizada a restauração do tipo endocrown. Para tal, a seguinte sequência clínica foi adotada: preparo interno do espaço da câmara pulpar com broca 3131, preparo externo do término cervical em chanfro com broca 4138, acabamento do preparo, moldagem com silicone de adição, vazamento do modelo em gesso tipo IV, registro oclusal, restauração endocrown provisória em resina acrílica cor 66, escaneamento laboratorial dos modelos, planejamento digital da restauração e impressão em resina NanoLab (A2, Wilcos), seguida de cimentação resinosa autoadesiva. Considerações finais: A associação entre as terapias endodôntica e periodontal, seguida da reabilitação com endocrown impressa em resina, permitiu a preservação do dente 44 em função e estável na arcada, mantendo-se saudável após 3 anos de acompanhamento.
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