title: A composite approach to the management of worn maxillary first molar teeth.
abstract: A lady with extrinsic acid erosion was referred to the restorative department at Bristol Dental Hospital by her General Dental Practitioner (GDP) for restoration of worn maxillary first molar teeth. These teeth were both causing symptoms of dentinal sensitivity and two attempts had been made to restore them with composite by her GDP. The restorations failed because there was insufficient space to bond the composite in place, which was due to dento-alveolar compensation of the first molars into the space created by the wear. Following relevant preventive advice, the maxillary first molar teeth were restored with 'high' direct composite resin, which allowed for adequate strength in bulk for retention while acting as fixed intrusion devices. These cured the patient's sensitivity and within four months her occlusion compensated for the composites and had re-established.
authors.affiliation: Eastman Dental Hospital, 256 Gray's Inn Road, London, WC1X 8LD, UK.
authors.forename: Jagdip S
authors.initials: JS
authors.lastname: Kalsi
authors.forename: Paul H R
authors.initials: PH
authors.lastname: Wilson
mesh_terms: D000328:Adult; D003188:Composite Resins / Q000737:chemistry; D003764:Dental Materials / Q000737:chemistry; D017267:Dental Prosthesis Design; D003793:Dental Restoration, Permanent / Q000379:methods; D003807:Dentin Sensitivity / Q000628:therapy*; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008963:Molar / Q000473:pathology*; D010347:Patient Care Planning; D019279:Resin Cements / Q000737:chemistry; D014077:Tooth Erosion / Q000517:prevention & control / Q000628:therapy*; D014087:Tooth Movement Techniques / Q000379:methods; D016896:Treatment Outcome
chemical_list: D003188:Composite Resins; D003764:Dental Materials; C451600:OptiBond Solo Plus; D019279:Resin Cements; C451741:point 4 composite resin