Direct restorative technique in posterior teeth to treat erosion-induced tooth wear

Introduction: The restorative reconstruction of lost tooth structure and the restoration of the original vertical bite position in a dentition that has been severely affected by tooth erosion or abrasion always presents the dentist with problems in implementing the therapy. Traditionally, this therapy is carried out with laboratory-produced restaurations, which usually require preparation of the remaining tooth substance and result in high costs for the patient, so that alternative procedures should be considered. It should be emphasized that any restorative work, even minimally invasive, is only indicated in these patients if the preventive approach of inhibiting further loss of tooth structure is successful at the same time. Treatment method: The following article presents a case study on the use of direct adhesive composite restorations as a possibility for reconstructing an erosively severely altered dentition. Transfer splints, which are fabricated on the basis of individual wax-up models, are used to reconstruct the occlusal surfaces. Conclusion: The procedure described is a well-studied and proven method for restoring teeth with erosion-induced tooth wear. As with all new procedures, there will be a certain learning curve for the practicing dentist, after which high-quality restorations can be implemented using this technique. Keywords: adhesive technique, composite, erosion, occlusal vertical dimension, tooth wear