Abstract
The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. Severe tooth wear is frequently multifactorial and variable. Successful management is a subject of interest in dentistry. A critical aspect is to determine the occlusal vertical dimension (OVD) and a systematic approach that can lead to a predictable and favorable treatment prognosis. Management of patients with worn dentition is complex and difficult. Accurate clinical and radiographic examinations, a diagnostic wax-up, and determining OVD are crucial. This paper describes the full-mouth rehabilitation of a 47-year-old bruxer with a severely worn dentition.
Highlights
Restoration of the severely worn dentition is one of the most challenging procedures in dentistry
Tooth wear can result from abrasion, attrition, and erosion [1,2,3,4,5]
The etiology of occlusal wear for our patient is not fully understood; it can be hypothesized that the patient had history of stress which may have led to parafunctional occlusal habit and started grinding his anterior teeth
Summary
Restoration of the severely worn dentition is one of the most challenging procedures in dentistry. Severe or excessive wear refers to tooth destruction that requires restorative intervention. Severe attritional wear can result from occlusal prematurities that prevent functional or parafunctional movements of the jaw. Behavioural factors that may contribute to parafunctional habits and/or nocturnal bruxism are important to understand and manage in order to successfully restore and maintain a healthier dentition [7]. Once a complete understanding of the etiology of the dentition’s present state is appreciated, a treatment plan can be formulated, taking into account the number of teeth to be treated, condylar position, space availability, the vertical dimension of occlusion (VDO), and the choice of restorative material [8]. The steps in treatment of these patients include a comprehensive examination, diagnostic mounting and diagnostic wax-up, careful planning and sequencing of various steps, discussion with the patient about the different treatment alternatives, and careful execution of the treatment plan
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