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 Table of Contents  
Year : 2018  |  Volume : 18  |  Issue : 5  |  Page : 44

CRC20: Multidisciplinary management of anterior tooth wear

Date of Web Publication31-Oct-2018

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-4052.244676

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How to cite this article:
. CRC20: Multidisciplinary management of anterior tooth wear. J Indian Prosthodont Soc 2018;18, Suppl S1:44

How to cite this URL:
. CRC20: Multidisciplinary management of anterior tooth wear. J Indian Prosthodont Soc [serial online] 2018 [cited 2019 Mar 26];18, Suppl S1:44. Available from: http://www.j-ips.org/text.asp?2018/18/5/44/244676

Melati Mahmud

Centre for Restorative Dentistry Studies Faculty of Dentistry Universiti Teknologi MARA, Malaysia

Introduction: Management of tooth wear has been described in the literature. Each of them followed various techniques and materials to restore patient's worn teeth that mainly depend on their clinical presentations. In some cases, an interdisciplinary approach is the best option to restore the function and enhance the aesthetics features.

Case Description: A 65-year-old female patient presented with anterior tooth wear. Further history established a long history of bruxism and acidic drinks consumption. Upon examination, gummy smile, secondary caries and tooth wear were noted. Width- to- length proportion of maxillary anterior teeth were below the standard value. Treatment was done in several phases which include, dietary advice, visualizing treatment with diagnostic try in, stabilisation and definitive phases. The improvements needed were being verified using the provision of template based on diagnostic wax-up at increasing vertical dimension. A combination of periodontal crown lengthening and direct and indirect restorations was completed on this patient.

Discussion: Periodontal crown lengthening has provided several benefits on the smile and the tooth proportion of the anterior teeth. In the stabilisation phase, the patient was assessed on her coping mechanism towards increasing vertical dimension and the desired endpoint of treatment relative to tooth position, gingival levels, papilla levels. The versatility of the composites as a long term provisional in this phase that can be altered meanwhile maintains its optimum aesthetics.

Conclusion: Multidisciplinary approach is recommended in the management of anterior tooth wear for better function, comfort and aesthetics.


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