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Article: Volume 49 Number 2 Page 133 - February 2022

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  Dental Update 497: 133-138

Restorative dentistry:  Direct versus Indirect Restorations in the Treatment of Tooth Wear: A Report of Two Cases

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Abstract: The process of tooth wear is multifactorial in aetiology, and when the progression has been considered excessive enough to be associated with aesthetic and functional concerns, appropriate assessment of each case and its treatment selection must be made, using evidence-based practice to treat such patients. Composite and ceramics are dental materials that have long been used for the restoration of patients with tooth wear. This article will explore the comparisons and rationale between direct and indirect methods and materials, using two rehabilitation cases as examples to show the impact of management of such patients. Although some cases may require a removable treatment option, this article will focus on non-removable options only.

Clinical relevance: This article provides readers with an understanding of the selection criteria and utility values when deciding whether to restore a patient’s dentition with indirect or direct materials.

Author notes: Farima Mehrabi, BDS, MFDS, RCSEd PgCertMedEd, Restorative Clinical Lecturer, University of Bristol Dental Hospital. Shihab Romeed, FDS (Rest Dent), RCPS(Glasg), FFD RCSI(Ire), MFDS, RCSEng, MFDS RCSEd, PhD, MSc, PGDip, DDS, FHEA (London, UK), Consultant in Restorative Dentistry, Queen Alexandra Hospital, Cosham, Portsmouth; Director of London Dental Academy. email: farima.mehrabi@bristol.ac.uk

Objective: The reader will appreciate the different materials and techniques available for tooth wear rehabilitation.