title: A comprehensive and conservative approach for the restoration of abrasion and erosion. Part I: concepts and clinical rationale for early intervention using adhesive techniques.
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.
authors.affiliation: Department of Cariology and Endodontics, School of Dentistry, Geneve, Switzerland. ddietschi@unige.ch
authors.forename: Didier
authors.initials: D
authors.lastname: Dietschi
authors.forename: Ana
authors.initials: A
authors.lastname: Argente
mesh_terms: D003188:Composite Resins / Q000737:chemistry; D003190:Comprehensive Dental Care; D001840:Dental Bonding; D003764:Dental Materials / Q000737:chemistry; D003793:Dental Restoration, Permanent / Q000379:methods*; D004955:Esthetics, Dental; D006801:Humans; D010347:Patient Care Planning; D014072:Tooth Abrasion / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D019217:Tooth Attrition / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D014077:Tooth Erosion / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D014716:Vertical Dimension
chemical_list: D003188:Composite Resins; D003764:Dental Materials