title: Diagnosis and management of maxillary incisors affected by incisal wear: an interdisciplinary case report.
abstract: In the attempt to restore anterior teeth affected by erosion and bruxism, many clinicians have been frustrated with the constant restorative failures. Frequently, these failures are attributed to the restorative materials employed, especially in cases in which composite resins are used. However, some flaws of the restorations are related to the oversight of occlusal principles. The purpose of this article is to discuss the etiology, signs, and symptoms of incisal wear, with special attention to that caused by bruxism and chemical erosion. Relatively simple management techniques (e.g., occlusal adjustment, adhesive restorations) are proposed, and the diagnosis and management of a representative clinical case is presented.
  
  
  CONCLUSIONS
  In some cases of bruxism and/or dental erosion, it is possible to acquire space to recuperate the esthetics and function of maxillary incisors affected by incisal wear through a conservative treatment associated with the control of the etiologic factors.
authors.affiliation: jkbf@bol.com.br
authors.forename: Jussara Karina
authors.initials: JK
authors.lastname: Bernardo
authors.forename: Elaine A Vilela
authors.initials: EA
authors.lastname: Maia
authors.forename: Antônio Carlos
authors.initials: AC
authors.lastname: Cardoso
authors.forename: Edson Medeiros
authors.initials: EM
authors.lastname: de Araújo Júnior
authors.forename: Sylvio
authors.initials: S
authors.lastname: Monteiro Júnior
mesh_terms: D000328:Adult; D000855:Anorexia / Q000150:complications / Q000517:prevention & control; D002012:Bruxism / Q000150:complications / Q000517:prevention & control; D016302:Centric Relation; D003188:Composite Resins / Q000737:chemistry; D003376:Counseling; D001840:Dental Bonding; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D005260:Female; D006801:Humans; D007180:Incisor / Q000473:pathology*; D008437:Maxilla; D019558:Occlusal Adjustment; D017090:Occlusal Splints; D010347:Patient Care Planning; D014072:Tooth Abrasion / Q000175:diagnosis* / Q000628:therapy; D014077:Tooth Erosion / Q000175:diagnosis* / Q000628:therapy; D014716:Vertical Dimension
chemical_list: D003188:Composite Resins