Abstract
Prosthetic treatment of patients with severe wear is challenging task. First step is controlling the causative factor that led to teeth wear along with the restoration of lost dentition.
Highlights
Full mouth rehabilitation of patients with severe attrition represents tremendous challenge
Composite restorations guided by digital smile design can serve as an excellent tool for vertical dimension increase when compared to removable occlusal splint in terms of better patients’ adaptation, esthetics and masticatory performance
Muts et al conducted a systematic review on the available treatment options for teeth wear dividing them into three phases: Vertical Dimension Increase (VDI), interim and definitive restorative phases [1]
Summary
Full mouth rehabilitation of patients with severe attrition represents tremendous challenge. For the rehabilitation of patient with severe erosion, Schwarz et al used direct composite for both VDI and interim phases [3]. This can be advantageous in terms of reducing treatment time and cost and greater patient satisfaction when compared to using removable occlusal splint for VDI [3,4,5]. The present case report aimed at full-mouth rehabilitation of a patient with severe attrition using direct composite resin in the VDI and interim phases to simplify the treatment plan. Silicone keys were constructed based on the waxed-up models (Figure 2c) to transfer the proposed treatment plan intra-orally. The patient reported satisfaction throughout six months follow-up period
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