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Article: Volume 46 Number 9 Page 812 - October 2019

  Dent Update 2019; 46: 812-816  Read article

Restorative dentistry:  The Use of Indirect Resin Composite Restorations in the Management of Localized Anterior Tooth Wear: a Clinical Update Part 2

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Abstract: This article will focus on the active management of localized anterior tooth wear using indirect resin composite restorations. Emphasis will be placed on minimally invasive methods of tooth preparation in order to preserve biological tooth tissue in an already compromised tooth structure. Active management commits the patient to considerable long-term maintenance and it is important, as with any treatment, that the advantages and disadvantages are fully explained to the patient.

Clinical relevance: Numerous epidemiological studies have reported tooth wear to be increasing in incidence amongst the general population. This article aims to provide a methodical conservative approach in the management of the worn dentition.

Author notes: Virat Kumar Hansrani, BChD, Dental Core Trainee 2 in Oral and Maxillofacial Surgery, Queen’s Medical Centre, Derby Road, Nottingham, NG7 2RD (email: v_hansrani@hotmail.co.uk), Dominic Laverty, BDS(Hons), MFDS RCS(Ed), ACF/StR in Restorative Dentistry, Birmingham Dental Hospital, 5 Mill Pool Way, Birmingham, B5 7EG and Paul Brunton, PhD, MSc, BChD, FDS RCS Rest Dent(Edin), FGDP(UK), RCS(Eng), FDS RCS(Eng), Professor and Dental Dean at Faculty of Dentistry, University of Otago, PO Box 56, Dunedin 9054, New Zealand.

Objective: To outline how to take a detailed history and examination and describe different techniques available for the restoration of the worn dentition with indirect composite restorations.