Publications by authors named "Mario F Romero"

9 Publications

  • Page 1 of 1

Resin Bonding of a Lithium-Disilicate Crown Using a Ligated Rubber Dam: A 2-Year Case Report.

Compend Contin Educ Dent 2021 Apr;42(4):188-191

Professor, Department of Restorative Sciences, Dental College of Georgia, Augusta University, Augusta, Georgia.

Enduring glass-ceramic restorations greatly depend on the quality of adhesion of the crown to enamel and dentin. Proper isolation is vital to the success of bonded ceramic restorations. The rubber dam has long been considered the primary method of preventing contamination of the operating field, a crucial requisite for adhesion. However, many dentists do not use rubber dam isolation due to its penchant for slowing down procedures. The authors present a case report that describes a technique for the indirect bonding of a ceramic restoration to a maxillary first molar using rubber dam isolation in conjunction with a floss ligature,a method that is aimed at optimizing operator effectiveness and efficiency.
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April 2021

Esthetic management of white spot lesions by using minimal intervention techniques of bleaching and resin infiltration: A clinical report.

J Prosthet Dent 2020 Sep 29. Epub 2020 Sep 29.

Associate Professor, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Ga. Electronic address:

Dental fluorosis and hypocalcification manifest as white spot lesions and/or brown discolorations. With dental fluorosis, mottled layers in enamel can also be present depending on severity. Treatment options have varied in such situations, depending on severity, and can range from conservative to more invasive. This clinical report focuses on a combination of bleaching and resin infiltration as one of the more conservative treatment options.
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http://dx.doi.org/10.1016/j.prosdent.2020.08.010DOI Listing
September 2020

Treatment and esthetic management of traumatized maxillary central incisors with endodontic therapy and the inside/outside bleaching technique: A clinical report.

J Prosthet Dent 2019 Oct 23;122(4):343-347. Epub 2019 Apr 23.

Instructor, Department of General Dentistry, Dental College of Georgia at Augusta University, Augusta, Ga. Electronic address:

Traumatic dental injuries most commonly occur to the maxillary central incisors, occasionally resulting in tooth discoloration and prompting affected patients to seek dental treatment. Other negative sequelae of trauma to teeth include root resorption that can complicate definitive treatment planning to manage discoloration. This article describes the conservative esthetic management of discolored traumatized teeth through the inside/outside bleaching technique after endodontic therapy for external inflammatory root resorption.
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http://dx.doi.org/10.1016/j.prosdent.2018.10.020DOI Listing
October 2019

Minimally invasive esthetic improvement in a patient with dental fluorosis by using microabrasion and bleaching: A clinical report.

J Prosthet Dent 2018 Sep 1;120(3):323-326. Epub 2018 May 1.

Professor, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Ga.

Dental fluorosis is a condition that produces unesthetic coloration of enamel because of excessive fluoride ingestion during enamel formation. Its appearance can range in severity from mildly white and opaque to dark brown and can lead a patient to seek dental treatment. Historically, these lesions have been masked, either with direct or indirect restorations, but more conservative treatment options are now available, including the combination of microabrasion and bleaching. This clinical report describes the use of these treatment options to address a young patient's dental fluorosis.
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http://dx.doi.org/10.1016/j.prosdent.2017.12.024DOI Listing
September 2018

A multidisciplinary approach to the management of a maxillary midline diastema: A clinical report.

J Prosthet Dent 2018 Apr 23;119(4):502-505. Epub 2017 Aug 23.

Assistant Professor, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Ga.

A maxillary midline diastema (MMD) is a common complaint of dental patients. An MMD can be closed with treatment from different disciplines, including operative dentistry and orthodontics. A comprehensive smile analysis is also a necessity before beginning treatment. This article highlights the closure of a 3-mm MMD by using a combination of orthodontics and direct composite resin restorations.
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http://dx.doi.org/10.1016/j.prosdent.2017.06.017DOI Listing
April 2018

Combination of centripetal and successive layering techniques for a stress-reduced posterior direct composite restoration.

Gen Dent 2017 May-Jun;65(3):72-76

Due to the increased predictability of current bonding procedures and the improved properties of today's composite materials, large Class II and cuspal build-up direct composite resin restorations are routinely performed. Biological considerations and the stress associated with polymerization shrinkage are key factors that need to be considered during the treatment planning phase. This article demonstrates a combination of concepts and techniques to reduce the stress associated with polymerization shrinkage in large restorations, thus potentially improving the longevity of the restoration.
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May 2018

Restoration of a large class IV fracture using direct composite resin: A clinical report.

J Prosthet Dent 2017 Oct 3;118(4):447-451. Epub 2017 Apr 3.

Clinical Instructor, Department of Oral Rehabilitation, Augusta University, Dental College of Georgia, Augusta, Ga.

Restoration of anterior tooth fractures is a common dental procedure. Both direct and indirect options are clinically acceptable to repair fractured teeth. For a large class IV fracture, treatment planning is time consuming, and the artistic skills necessary to achieve optimal results can be daunting. This clinical report describes a step-by-step protocol for achieving highly esthetic direct anterior restorations.
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http://dx.doi.org/10.1016/j.prosdent.2017.02.007DOI Listing
October 2017

Modified Occlusal Rim Design and Use of Phonetics to Determine Anterior Tooth Position and Vertical Dimension: A Clinical Report.

Compend Contin Educ Dent 2016 Jun;37(6):e5-8

Assistant Professor, Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York.

Prosthetic rehabilitation of edentulous patients can sometimes pose many clinical challenges for the clinician. The importance of correct vertical and horizontal positioning of the anterior teeth so that the completed denture is esthetically pleasing while being functionally correct has been well documented in the literature. Different techniques have been proposed whereby a conventional occlusal rim is used. The wax-rim thickness of this design can interfere with the neutral zone, making normal phonetics difficult. In this report, a completely edentulous patient received treatment using a modified occlusal rim so that phonetics could be used to determine the anterior tooth position and vertical dimension, following a strict adherence to a clinical protocol. The methodology involved the use of heat-processed resin record bases and a thin segment of baseplate wax that mimics anterior teeth. This approach resulted in a more natural feeling for the patient and provided the clinician the necessary information for the laboratory, which was easily communicated.
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June 2016

Esthetic anterior composite resin restorations using a single shade: Step-by-step technique.

Authors:
Mario F Romero

J Prosthet Dent 2015 Jul 24;114(1):9-12. Epub 2015 Apr 24.

Assistant Professor, Department of Oral Rehabilitation, Georgia Regents University, College of Dental Medicine, Augusta, Ga. Electronic address:

Children and young adults often present to a dental practice after accidents that affect their anterior teeth. In many situations, only 1 tooth is affected by the trauma, and choosing the right treatment option can be complex. Esthetic restoration of the maxillary anterior dentition can be accomplished by using direct or indirect techniques. Direct resin composite restoration can be characterized as a life-like definitive restoration and is a predictable, conservative, and reliable chairside procedure. This article describes a straightforward protocol used to restore a patient's appearance with a single-shade composite resin after a Class IV fracture received during a sporting event.
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http://dx.doi.org/10.1016/j.prosdent.2015.02.013DOI Listing
July 2015