General Dental Practitioner, 606 Dental Practice, Solihull.
Consultant in Restorative Dentistry, Royal Surrey County Hospital NHS Foundation Trust.
Prim Dent J. 2021 Mar;10(1):120-125. doi: 10.1177/2050168420980978.
Tooth wear is increasing in prevalence within the United Kingdom. Treatment of tooth surface loss can be daunting for both the clinician and patient. However, use of additive resin composite restorations is a minimally invasive treatment modality. This case illustrates the treatment of tooth surface loss in both the maxillary and mandibular arches with direct composites restorations using putty indices generated from a diagnostic wax-up recorded in centric relation. The tooth surface loss had resulted in reduced restorative space on the right hand side. The restorative treatment involved increasing the anterior vertical dimension, enabling the provision of a cobalt-chrome partial denture. This case shows the restoration of form, function and aesthetics using a reorganised occlusal approach.
在英国，牙齿磨损的患病率正在上升。对于临床医生和患者来说，治疗牙面磨损可能令人生畏。然而，使用添加剂树脂复合材料修复是一种微创治疗方式。本病例通过记录在正中关系中的诊断蜡型生成的糊剂指数，采用直接复合树脂修复体来治疗上颌和下颌弓的牙面磨损。牙面磨损导致右手侧修复空间减少。修复治疗包括增加前牙垂直距离，从而提供钴铬局部义齿。本病例展示了通过重新组织的咬合方法来恢复形态、功能和美观。
