Prosthetic-restorative Approach for the Restoration of Tooth Wear. Vdo Increase, Rehabilitation of Anatomy and Function and Aesthetic Restoration of Anterior Teeth

Prosthetic-restorative approach for the restoration of tooth wear. Case report Objective. This article presents a case report of combined prosthetic-adhesive rehabilitation in a patient with a generalized tooth wear. Methods. A combined treatment adhesive prosthetic was proposed to a male patient of 65 years old having a clinically significant tooth wear, with dentine exposure and with a reduction in clinical crown height. The erosive/abrasive worn dentition have been reconstructed with direct resin composite restorations on the posterior teeth and with zirconia crown on the anterior teeth. Results. Direct composite restorations have a number of distinct advantages. These restorations have proved durable and aesthetic, protect tooth structure and posterior occlusal contact is predictably re-established. Conclusions. A combinations of direct and indirect restorations, based on the new vertical dimension of occlusion (VDO), can help to reestablish anatomy and function.