ABSTRACT: The emergence and development of resin-based materials, such as resin composites and adhesive systems, have shifted the restorative treatment of anterior teeth with caries lesions and/or fractures. Thus, based on the disadvantages of indirect restorations, direct esthetic restorations are restorative options even for anterior teeth with exten sive loss of hard tissues. This study aimed to describe and discuss the direct resin composite restoration performed to solve the esthetic and functional impairments of the upper anterior teeth with diastemas. The upper left central incisor received total crown preparation for indirect restoration. Clinical results after 10 years were recorded. Considering the clinical characteris tics of dental restorations, it is possible to conclude that direct resin composite restorations reestablished the esthetic and functional properties satisfactorily, even in a tooth with extensive coronal destruction. The success of the restorative treatm ent was dependent on factors related to the materials´ properties, oral habits of the patient, and mostly the clinical skills of th e dental clinician.

RESUMEN: La aparición y el desarrollo de materiales con base de resina, como las resinas compuestas y los sistemas adhesivos, han cambiado el tratamiento restaurador de los dientes anteriores con lesiones de caries y/o fracturas. Por lo tanto, en base a las desventajas de las restauraciones indirectas, las restauraciones estéticas directas son opciones de restauración, incluso para los dientes anteriores con una gran pérdida de tejidos duros. Este estudio tuvo como objetivo describir y discutir la restauración directa con resina compuesta, realizada para solucionar las deficiencias estéticas y funcionales de los dientes anteriores superiores con diastemas. El incisivo central superior izquierdo recibió preparación de corona total para restauración indirecta. Se registraron los resultados clínicos después de 10 años. Considerando las características clínicas de las restauraciones dentales, es posible concluir que las restauraciones directas en resina compuesta restablecieron las propiedades estéticas y funcionales satisfactoriamente, incluso en un diente con destrucción coronal extensa. El éxito del tratamiento restaurador dependió de factores relacionados con las propiedades de los materiales, los hábitos bucales del paciente y, sobre todo, las habilidades clínicas del odontólogo.

AbstractElectron Paramagnetic Resonance (EPR) was used as an alternative method to study the conversion degree of dual cure resin cement and verify the influence of prefabricated translucent fiberglass post on the dual cure resin cement polymerization at different restoration points. The post cementation of White Post DC (FGM, Joinville, SC, Brasil) was simulated using the dual cured resin cement Allcem (FGM, Joinville, SC, Brasil) in three different protocols: cement irradiated for 40 s; no light irradiation and cement irradiated with sealed cementation line. 2mm samples were obtained from three post sections and EPR spectra were obtained 10 minutes and 24 hours after mixing the base paste and catalyst of the cement. Results shows that the light curing protocol influenced the concentration of free radicals up to 8mm of the restoration, and the capacity of light transmission of the post was significant for the first 8mm of restoration and is non-existent in the deepest points of a simulated root canal. The cure in the apical part of restoration is exclusively chemical.