Keywords
Tooth discoloration
Composite resin
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Abstract
Objective: To report the aesthetic rehabilitation of a smile using composite resin in a patient with generalized dental pigmentation caused by improper tetracycline use. Case details: A 42-year-old female patient, normosystemic, sought dental care complaining of “dark stains on her teeth.” The intraoral clinical examination revealed tetracycline-induced pigmentation classified as grade III, along with gingival recessions, diastemas, and enamel hypoplasia. Composite resin veneers were selected as the most cost-effective treatment. The procedure involved minimal enamel reduction (0.6 mm), application of pigments (Empress Direct Opaque, Ivoclar Vivadent, São Paulo, SP, Brazil), and composite resin (IPS Empress Direct – Ivoclar). After the restorations, initial and intermediate finishing were performed, followed by final polishing in a subsequent session. Conclusion: Improper tetracycline use can cause dental staining, particularly during childhood. Healthcare professionals must educate patients about its risks. For affected cases, composite resin restorations provide an aesthetic, functional, and cost-effective solution compared to ceramics. This treatment not only enhances the smile but also improves self-esteem.
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