[en] For the first-line restorative management of worn dentition, direct composite restorations offer several advantages. However, the selection of this material and its method of application may not consistently provide a satisfactory longer-term treatment solution, particularly at molar teeth. This clinical approach is neither mutually exclusive, as there are various alternative dental materials available for similar clinical purposes, often applied using indirect fabrication techniques. These alternatives may offer benefits such as enhanced aesthetics and superior mechanical properties. It is essential for clinicians to have a comprehensive understanding of the various dental materials and techniques that may be suitable for a given clinical presentation. This involves evaluating the risks, benefits, costs and likely prognosis of each option. A thorough grasp of application protocols, along with an evidence-based approach, is crucial with the attainment of informed consent. In this chapter, the role of indirect restorations - ranging from resin-based composites to ceramic materials - will be discussed, along with the supporting evidence. The use of both partial and full-coverage indirect restorations will be reviewed, as well as the performance of more novel dental materials. An overview of the key stages in planning the rehabilitation of worn dentition will also be provided, including occlusal considerations, occlusal treatment concepts and smile design - critical factors for achieving optimal treatment outcomes. Additionally, this chapter will cover the steps involved in preparing diagnostic mock-ups used for the treatment of worn dentition.
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège
Disciplines :
Dentistry & oral medicine
Author, co-author :
Loomans, Bas A C; Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands
Crins, Luuk; Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands
Mainjot, Amélie ; Université de Liège - ULiège > Département des sciences dentaires > Biomatériaux dentaires
Shepperson, Andrea; BDS Otago General Dentist, Private Practice, Auckland, New Zealand
Mehta, Shamir B; Department of Dentistry, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands ; King's College London Faculty of Dentistry, Oral & Craniofacial Sciences, Guy's Campus, London, UK
Language :
English
Title :
Restorative Therapy of Erosive Tooth Wear Lesions: Indirect Strategies.
Loomans B, Opdam N, Attin T, Bartlett D, Edelhoff D, Frankenberger R, et al. Severe tooth wear: European consensus statement on management guidelines. J Adhes Dent. 2017;19(2): 111–9. https://doi.org/10.3290/j.jad. a38102
Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 4. An overview of the restorative techniques and dental materials commonly applied for the management of tooth wear. Br Dent J. 2012;212(4):169–77. https://doi.org/10.1038/sj.bdj.2012.137
Banerji S, Mehta SB, Opdam N, Loomans B. Practical procedures in the management of tooth wear. Hoboken, New Jersey: John Wiley & Sons Ltd.; 2020. https://doi.org/10.1002/9781119389965
Mehta SB, Lima VP, Bronkhorst EM, Crins L, Bronkhorst H, Opdam NJM, et al. Clinical performance of direct composite resin restorations in a full mouth rehabilitation for patients with severe tooth wear: 5.5-year results. J Dent. 2021;112:103743. https://doi.org/10.1016/j.jdent.2021.103743
Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent. 2002;87(5):503–9. https://doi.org/10.1067/mpr.2002.124094
Saunders WP, Saunders EM. Prevalence of periradicular periodontitis associated with crowned teeth in an adult Scottish sub-population. Br Dent J. 1998;185(3):137–40. https://doi.org/10.1038/sj.bdj.4809750
Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 3. Active restorative care 2: the management of generalised tooth wear. Br Dent J. 2012; 212(3):121–7. https://doi.org/10.1038/sj.bdj.2012.97
Eliyas S, Martin N. The management of anterior tooth wear using gold palatal veneers in canine guidance. Br Dent J. 2013;214(6):291–7. https://doi.org/10.1038/sj.bdj.2013.273
Dahl BL, Krogstad O. The effect of a partial bite raising splint on the occlusal face height. An x-ray cephalometric study in human adults. Acta Odontol Scand. 1982;40(1):17–24. https://doi.org/10.3109/00016358209019805
Poyser NJ, Porter RW, Briggs PF, Chana HS, Kelleher MG. The Dahl concept: past, present and future. Br Dent J. 2005; 198(11):669–720. https://doi.org/10.1038/sj.bdj.4812371
Crins LAMJ, Opdam NJM, Kreulen CM, Bronkhorst EM, Huysmans MCDNJM, Loomans BAC. Randomised controlled trial on testing an increased vertical dimension of occlusion prior to restorative treatment of tooth wear. J Oral Rehabil. 2023;50(4):267–75. https://doi.org/10.1111/joor.13408
Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J. 2012;57(1): 2–10. https://doi.org/10.1111/j..18347819.2011.01640.x
Edelhoff D, Schweiger J, Prandtner O, Trimpl J, Stimmelmayr M, Güth JF. CAD/ CAM splints for the functional and esthetic evaluation of newly defined occlusal dimensions. Quintessence Int. 2017;48(3):181–91. https://doi.org/10.3290/j.qi.a37641
Mehta SB, Banerji S. The restorative management of tooth wear involving the aesthetic zone. Br Dent J. 2018;224(5): 333–41. https://doi.org/10.1038/sj.bdj.2018.174
Morley J, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc. 2001;132(1):39–45. https://doi.org/10.14219/jada.archive.2001.0023
Mehta SB, Banerji S, Crins L, Opdam N, Loomans BAC. The longevity of tooth-coloUred materials used for restoration of tooth wear: an evidence-based approach. Prim Dent J. 2023;12(3):43–53. https://doi.org/10.1177/ 20501684231193595
Schlichting LH, Resende TH, Reis KR, Raybolt Dos Santos A, Correa IC, Magne P. Ultrathin CAD-CAM glass-ceramic and composite resin occlusal veneers for the treatment of severe dental erosion: an up to 3-year randomized clinical trial. J Prosthet Dent. 2022;128(2):158.e1–e12. https://doi.org/10.1016/j.prosdent.2022.02.009
Vailati F, Gruetter L, Belser UC. Adhesively restored anterior maxillary dentitions affected by severe erosion: up to 6-year results of a prospective clinical study. Eur J Esthet Dent. 2013;8(4):506–30.
Maier E, Crins L, Pereira-Cenci T, Bronkhorst E, Opdam N, Galler K, et al. 5.5-year-survival of CAD/CAM resin-based composite restorations in severe tooth wear patients. Dent Mater. 2024;40(5):767–76. https://doi.org/10.1016/j.dental.2024.03.001
Crins LAMJ, Opdam NJM, Kreulen CM, Bronkhorst EM, Sterenborg BAMM, Huysmans MCDNJM, et al. Randomized controlled trial on the performance of direct and indirect composite restorations in patients with severe tooth wear. Dent Mater. 2021;37(11):1645–54. https://doi.org/10.1016/j.dental.2021.08.018
Bartlett D, Sundaram G. An up to 3-year randomized clinical study comparing indirect and direct resin composites used to restore worn posterior teeth. Int J Prosthodont (IJP). 2006;19(6):613–7.
Edelhoff D, Erdelt KJ, Stawarczyk B, Liebermann A. Pressable lithium disilicate ceramic versus CAD/CAM resin composite restorations in patients with moderate to severe tooth wear: clinical observations up to 13 years. J Esthet Restor Dent. 2023;35(1):116–28. https://doi.org/10.1111/jerd.12947
Burian G, Erdelt K, Schweiger J, Keul C, Edelhoff D, Güth JF. In-vivo-wear in composite and ceramic full mouth rehabilitations over 3 years. Sci Rep. 2021; 11(1):14056. https://doi.org/10.1038/ s41598-021-93425-z
Gow AM, Hemmings KW. The treatment of localised anterior tooth wear with indirect Artglass restorations at an increased occlusal vertical dimension. Results after two years. Eur J Prosthodont Restor Dent. 2002;10(3):101–5.
Torosyan A, Vailati F, Mojon P, Sierra D, Sailer I. Retrospective clinical study of minimally invasive full-mouth rehabilitations of patients with erosions and/or abrasions following the “3-step technique”. Part 1: 6-year survival rates and technical outcomes of the restorations. Int J Prosthodont. 2022;35(2):139–51. https://doi.org/10.11607/ijp.7294
Mainjot AK, Dupont NM, Oudkerk JC, Dewael TY, Sadoun MJ. From artisanal to CAD-CAM blocks: state of the art of indirect composites. J Dent Res. 2016; 95(5):487–95. https://doi.org/10.1177/ 0022034516634286
Laborie M, Naveau A, Menard A. CAD-CAM resin-ceramic material wear: a systematic review. J Prosthet Dent. 2024;131(5):812–8. https://doi.org/10.1016/j.prosdent.2022.01.027
Grenade C, De Pauw-Gillet MC, Gailly P, Vanheusden A, Mainjot A. Biocompatibility of polymer-infiltrated-ceramic-network (PICN) materials with Human Gingival Fibroblasts (HGFs). Dent Mater. 2016;32(9):1152–64. https://doi.org/10.1016/j.dental.2016.06.020
Grenade C, De Pauw-Gillet MC, Pirard C, Bertrand V, Charlier C, Vanheusden A, et al. Biocompatibility of polymer-infiltrated-ceramic-network (PICN) materials with Human Gingival Keratinocytes (HGKs). Dent Mater. 2017; 33(3):333–43. https://doi.org/10.1016/j.dental.2017.01.001
Mainjot AKJ. The One step-No prep technique: a straightforward and minimally invasive approach for full-mouth rehabilitation of worn dentition using polymer-infiltrated ceramic network (PICN) CAD-CAM prostheses. J Esthet Restor Dent. 2020;32(2):141–9. https://doi.org/10.1111/jerd.12432
Oudkerk J, Eldafrawy M, Bekaert S, Grenade C, Vanheusden A, Mainjot A. The one-step no-prep approach for full-mouth rehabilitation of worn dentition using PICN CAD-CAM restorations: 2-yr results of a prospective clinical study. J Dent. 2020;92:103245. https://doi.org/10.1016/j.jdent.2019. 103245
Oudkerk J, Herman R, Eldafrawy M, Wulfman C, Ernst M, Vanheusden A, et al. Intraoral wear of PICN CAD-CAM composite restorations used in severe tooth wear treatment: 5-year results of a prospective clinical study using 3D profilometry. Dent Mater. 2024;40(7): 1056–63. https://doi.org/10.1016/j.dental.2024.05.015
Edelhoff D, Güth JF, Erdelt K, Brix O, Liebermann A. Clinical performance of occlusal onlays made of lithium disilicate ceramic in patients with severe tooth wear up to 11 years. Dent Mater. 2019; 35(9):1319–30. https://doi.org/10.1016/j.dental.2019.06.001
Smales RJ, Berekally TL. Long-term survival of direct and indirect restorations placed for the treatment of advanced tooth wear. Eur J Prosthodont Restor Dent. 2007;15(1):2–6.
Burke FJ. Four year performance of dentine-bonded all-ceramic crowns. Br Dent J. 2007;202(5):269–73. https://doi.org/10.1038/bdj.2007.176
Milosevic A. The survival of zirconia bonded crowns (LavaTM) in the management of severe anterior tooth wear up to 7-years follow-up. Oral Biol Dent. 2014;4:2–9.
Hammoudi W, Trulsson M, Svensson P, Smedberg JI. Long-term results of a randomized clinical trial of 2 types of ceramic crowns in participants with extensive tooth wear. J Prosthet Dent. 2022; 127(2):248–57. https://doi.org/10.1016/j. prosdent.2020.08.041
Hardan L, Mancino D, Bourgi R, Cuevas-Suárez CE, Lukomska-Szymanska M, Zarow M, et al. Treatment of tooth wear using direct or indirect restorations: a systematic review of clinical studies. Bioengineering (Basel). 2022;9(8):346. https://doi.org/10.3390/bioengineering9 080346
Bartlett DW, Lussi A, West NX, Bouchard P, Sanz M, Bourgeois D. Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults. J Dent. 2013;41(11): 1007–13. https://doi.org/10.1016/j.jdent. 2013.08.018
Walls AW. The use of adhesively retained all-porcelain veneers during the management of fractured and worn anterior teeth: part 2. Clinical results after 5 years of follow-up. Br Dent J. 1995;178(9): 337–40. https://doi.org/10.1038/sj.bdj. 4808759
