RIABILITAZIONE PROTESICA della DENTIZIONE ABRASA
Clinical evaluation of the association between noncarious cervical lesions and occlusal forces. Brandini,D. A., Trevisan, C. L., Panzarini, S. R., et al. The Journal of Prosthetic Dentistry 108(5), 298â€“303, 2012 ABSTRACT Statement of problem: Noncarious cervical lesions (NCCLs) are a frequent challenge in clinical dental practice, given the variety of opinions regarding their etiology, diagnosis, and treatment. Purpose: The purpose of this study was to assess the potential relationship between occlusal forces and the occurrence of NCCLs.
Esthetic rehabilitation of a severely worn dentition with minimally invasive prosthetic procedures (MIPP). Fradeani, M., Barducci, G., Bacherini, et al. The International journal of periodontics & restorative dentistry 32(2) : 135â€“147 , 2012 ABSTRACT Restorative treatment of the severely worn dentition is typically indicated to replace deficient tooth structure, limit the advancement of tooth destruction, improve oral function, and enhance the appearance of the teeth. Minimizing removal of additional tooth structure while also fulfilling the desire of patients to have highly esthetic restorations can present a prosthetic challenge when the existing tooth structure is already diminished. This article presents a comprehensive minimally invasive prosthetic treatment approach using a lithium disilicate all-ceramic material for the esthetic rehabilitation of a severely worn dentition for a female patient diagnosed with SĂśjgren syndrome.
A comprehensive and conservative approach for the restoration of abrasion and erosion. Part I: concepts and clinical rationale for early intervention using adhesive techniques. Dietschi D., & Argente A. The European journal of esthetic dentistry 6(1) : 20â€“33 , 2011 ABSTRACT: Tooth wear represents a frequent pathology with multifactorial origins. Behavioral changes, unbalanced diet, various medical conditions and medications inducing acid regurgitation or influencing saliva composition and flow rate, trigger tooth erosion. Awake and sleep bruxism, which are widespread nowadays with functional disorders, induce attrition. It has become increasingly important to diagnose early signs of tooth wear so that proper preventive, and if needed, restorative measures are taken. Such disorders have biological, functional, and also esthetic consequences. Following a comprehensive clinical evaluation, treatment objectives, such as a proper occlusal and anatomical scheme as well as a pleasing smile line, are usually set on models with an anterior teeth full-mouth waxup, depending on the severity of tissue loss. Based on the new vertical dimension of occlusion (VDO), combinations of direct and indirect restorations can then help to reestablish anatomy and function. The use of adhesive techniques and resin composites has demonstrated its potential, in particular for the treatment of moderate tooth wear. Part I of this article reviews recent knowledge and clinical concepts dealing with the various forms of early restorative interventions and their potential to restrict ongoing tissue destruction.
Classification and treatment of the anterior maxillary dentition affected by dental erosion: the ACE classification Vailati, F., Belser U.C. The International Journal of Periodontics & Restorative Dentistry, 30(6), 559â€“571, 2010
Composite resin rehabilitation of eroded dentition in a bulimic patient: a case report. Spreafico, R. C. The European Journal of Esthetic Dentistry 5(1): 28â€“48, 2010 ABSTRACT Eating disorders such as bulimia nervosa can have a significant impact on the structure of the teeth. Gastric acid not only causes enamel and dentin to dissolve but also causes a progressive deterioration of dental health, which leads to functional esthetic and biological consequences. According to the classic concepts of restorative dentistry, the rehabilitation of such clinical cases will involve numerous full crowns and root canal treatments, a process which is expensive financially, biologically, and in terms of time. However, the development of resin composite and adhesive systems has made it possible, today, to reconstruct teeth with minimal dental preparation. This article will look at the dental treatment of a bulimic patient who had numerous serious erosions with a significant loss of dental tissue. All teeth were reconstructed with a nano-hybrid resin composite and, as very little preparation was necessary, the teeth's vitality was maintained and did not require laboratory collaboration. Furthermore, all biological, functional, and esthetic requisites were successfully met in a very short period of time.
Full-mouth adhesive rehabilitation of a severely eroded dentition: the three-step technique. Part 1,2,3 Vailati, F., & Belser, U. C. The European Journal of Esthetic Dentistry part 1 :3(1) : 30â€“ 44 ,2008.-- part 2 : 3(2):128â€“146, 2009 --part 3: 3(3) : 236â€“257, 2009 ABSTRACT Traditionally, a full-mouth rehabilitation based on full-crown coverage has been the recommended treatment for patients affected by severe dental erosion. Nowadays, thanks to improved adhesive techniques, the indications for crowns have decreased and a more conservative approach may be proposed. Even though adhesive treatments simplify both the clinical and laboratory procedures, restoring such patients still remains a challenge due to the great amount of tooth destruction. To facilitate the clinician's task during the planning and execution of a full-mouth adhesive rehabilitation, an innovative concept has been developed: the three-step technique. Three laboratory steps are alternated with three clinical steps, allowing the clinician and the laboratory technician to constantly interact to achieve the most predictable esthetic and functional outcome. During the first step, an esthetic evaluation is performed to establish the position of the plane of occlusion. In the second step, the patient's posterior quadrants are restored at an increased vertical dimension. Finally, the third step reestablishes the anterior guidance. Using the threestep technique, the clinician can transform a full-mouth rehabilitation into a rehabilitation for individual quadrants. This article illustrates only the first step in detail, explaining all the clinical parameters that should be analyzed before initiating treatment.
Published on Dec 1, 2013