Abstract

Background In this article, two cases with generalized dental wear and four cases with localized dental wear are reported. In some of the cases, the worn teeth were restored with direct composite techniques with no mock-up and articulator mounting according to the canine rise method. This method is used without any change in the intercuspation of posterior teeth without a muscle relaxation appliance. It introduces a stable occlusal condition that can alter neuromuscular reflex activity, leading to improvements in certain muscle pain disorders. It is also used to protect the teeth and supporting structures from abnormal forces that might create a further breakdown and/or tooth wear. Methods The first step of treatment in all the cases was a composite build-up for maxillary and mandibular canines to restrict and guide the horizontal and vertical jaw movements and create adequate space for restorations. The second step was the placement of direct or indirect restorations on upper and lower anterior teeth efficiently and accurately. Results This method enhanced the esthetic outcomes in a conservative approach with no reduction in tooth material or time-consuming treatments. Conclusions This technique can be suggested for the treatment of worn teeth in patients with Angle's Cl I and Cl II classifications of malocclusion based on the follow-up results. It is not applicable for the treatment of worn teeth in patients with Angle's class III because occlusion is reversed, and canine teeth do not have guidance role. Practical Implications. This method significantly reduces the overall treatment time, and additional steps are required to restore the worn-out teeth and/or occlusion using the canine rise method.

Highlights

  • One of the well-established occlusal diseases is dental wear

  • This case is an example of generalized tooth wear with full-mouth rehabilitation by direct composite restorations based on the canine rise method

  • The position that allows for interference-free contact is the centric relation; this position is an important factor in treatment planning for dental wear, and anterior guidance is an important factor to be considered [2]

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Summary

Background

Two cases with generalized dental wear and four cases with localized dental wear are reported. In some of the cases, the worn teeth were restored with direct composite techniques with no mock-up and articulator mounting according to the canine rise method. This method is used without any change in the intercuspation of posterior teeth without a muscle relaxation appliance. This technique can be suggested for the treatment of worn teeth in patients with Angle’s Cl I and Cl II classifications of malocclusion based on the follow-up results. This method significantly reduces the overall treatment time, and additional steps are required to restore the worn-out teeth and/or occlusion using the canine rise method

Introduction
Cases Presentation
Cases 3–6
Discussion
Findings
Conclusion
Conflicts of Interest
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