The restorative management of tooth wear involving the aesthetic zone

Key Points

  • Outlines the protocol for carrying out a systematic assessment of the aesthetic zone for a patient with toothwear.

  • Describes the clinical techniques for helping to establish a predictable aesthetic- functional outcome when attempting to restore worn down teeth in the aesthetic zone.

  • Overviews the data for the success and survival of restorations/restorative materials used to manage tooth wear affecting the aesthetic zone.

Abstract

The aim of this article is to describe a systematic approach that facilitates the establishment of a clear and appropriate diagnosis when a dentate patient presents with tooth wear involving their aesthetic zone. It will also detail the protocols that are required to allow for the development of an acceptable aesthetic prescription within the limits of the functional constraints presented by the patient (where active restorative intervention may be indicated), as well as to communicate the manner by which this information can be transferred to ultimately enable the successful and predictable rehabilitation of the affected areas. An overview will also be provided of the tooth-coloured dental materials and restorative techniques that have been commonly applied to deliver the predictable and effective dental care of worn teeth in the aesthetic zone.

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Figure 1: An example of a patient with severe tooth wear.
Figure 2: An extra-oral view of the case included in Figure 1.
Figure 3
Figure 4
Figure 5: (a) A set of accurate dental casts for the patient seen in Figures 4a and b, mounted in centric relation on a semi-adjustable articulator.
Figure 6
Figure 7
Figure 8
Figure 9: (a) Male patient in their late 30s with generalised tooth wear affecting the aesthetic zone.

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Correspondence to S. B. Mehta.

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Mehta, S., Banerji, S. The restorative management of tooth wear involving the aesthetic zone. Br Dent J 224, 333–341 (2018). https://doi.org/10.1038/sj.bdj.2018.174

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