Van't Spijker A, Kreulen C, Bartlett D Prevalence of tooth wear in adults. Int J Prosth. 2009; 22:35-42
O'Brien MLondon: HMSO; 1994
Mehta SB, Banerji S, Millar BJ, Saures-Fieto JM Current concepts in tooth wear managements. Part 1: Assessment, treatment planning and strategies for the prevention and passive monitoring of tooth wear. Br Dent J. 2012; 212:(1)17-27
Van't Spijker A, Kreulen C, Bartlett D Prevalence of tooth wear in adults. Int J Prosthodont. 2009; 22:35-42
Mehta SB, Banerji S, Millar BJ, Saures-Fieto JM Current concepts in tooth wear management. Part 4. An overview of the restorative techniques and materials commonly applied for the management of tooth wear. Br Dent J. 2012; 212:(4)169-177
Mehta SB, Banerji S, Millar BJ, Saures-Feito JM Current concepts in tooth wear management. Part 2 Active restorative care 1: The management of localised tooth wear. Br Dent J. 2012; 212:(2)73-82
Mehta SB, Banerji S, Millar BJ, Saures-Fieto JM Current concepts in tooth wear management. Part 3 Active restorative care 2: The management of generalised tooth wear. Br Dent J. 2012; 212:(3)121-127
Kilpatrick N, Mahoney E Dental erosion: Part 2. The management of dental erosion. NZ Dent J. 2004; 2:42-47
Hemmings K, Darbar U, Vaughan S Tooth wear treated with direct composite at an increased vertical dimension; results at 30 months. J Prosthet Dent. 2000; 83:287-293
Redman C, Hemmings K, Good J The survival and clinical performance of resin based composite restorations used to treat localised anterior tooth wear. Br Dent J. 2003; 194:566-572
Poyser N, Porter R, Briggs P, Kelleher M Demolition experts: management of the parafunctional patient: 2. Restorative management strategies. Dent Update. 2007; 34:262-268
Dahl B, Krungstad O, Karlsen K An alternative treatment of cases with advanced localised attrition. J Oral Rehab. 1975; 2:209-214
Dahl B, Krungstad O Long term observations of an increased occlusal face height obtained by a combined orthodontic/prosthetic approach. J Oral Rehab. 1985; 12:173-170
Poyser N, Porter R, Briggs P, Chana H, Kelleher M The Dahl concept: past, present and future. Br Dent J. 2005; 198:669-676
Banerji S, Mehta SB, Kamran T, Kalakonda M, Millar BJ A multi-centred clinical audit to describe the efficacy of direct supra-coronal splinting – a minimally invasive approach to the management of cracked tooth syndrome. J Dent. 2014; 42:862-887
Smales R, Berekally T Long term survival of direct and indirect restorations placed for the treatment of advanced tooth wear. Eur J Prosthodont Rest Dent. 2007; 15:2-6
Gulamali AB, Hemmings KW, Tredwin CJ, Petrie A Survival analysis of composite Dahl restorations provided to manage localised anterior tooth wear (ten year follow-up). Br Dent J. 2011; 211:(4)
Briggs P, Djemal S, Chana H, Kelleher M Young adult patients with established dental erosion – what should be done?. Dent Update. 1998; 25:166-170
Saunders W, Saunders E Prevalence of peri-radicular periodontitis associated with crowned teeth in an adult Scottish subpopulation. Br Dent J. 1998; 185:137-140
Edelhoff D, Sorenssen J Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002; 87:503-509
A guided, conservative approach for the management of localized mandibular anterior tooth wear Shamir B Mehta Selar Francis Subir Banerji Dental Update 2024 43:2, 707-709.
The successful management of the worn mandibular anterior dentition may present an awkward challenge to the dental operator. The purpose of this article is to describe a case report illustrating the use of a guided, three-dimensional protocol for the ultra-conservative and predictable restoration of the worn lower anterior dentition using direct resin composite. This technique utilizes information based on established biomechanical and occlusal principles to fabricate a diagnostic wax-up, which is duplicated in dental stone. This is used to prepare a vacuum-formed modified stent, assisting the clinician to place directly bonded resin composite restorations to restore the worn lower anterior dentition. The technique, described in 2012 and referred to as ‘injection moulding’ has the potential to offer optimal form, function and an aesthetic outcome in an efficient manner.
CPD/Clinical Relevance: This article aims to describe an alternative technique to simplify the processes involved with restoration of worn lower anterior teeth.
Article
The process of tooth wear usually has a multi-factorial aetiology.1 It is often difficult to isolate a single aetiological factor when a patient presents with pathological tooth wear. Individual aetiological factors may be subdivided into erosion, attrition, abrasion and abfraction.1 Numerous epidemiological studies have reported the condition of tooth wear to be prevalent amongst the general population, with rising incidence rates.2,3,4 With an ageing population in the developed world, with patients retaining their teeth into advanced years, coupled with lifestyle and habit changes amongst younger individuals, these figures are hardly surprising.
The successful management of a patient presenting with tooth wear relies on the attainment of an accurate patient history and a meticulous examination.1 Treatment provision must aim to identify and address the possible aetiological factors so as to prevent them from inflicting further damage upon the affected dental hard tissues, as well as upon any existing or planned dental restorations.1 In order to achieve predictability, a systematic approach should be applied when managing cases of tooth wear.
Register now to continue reading
Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:
