title: Use of additive dentistry decreases risk by minimizing reduction.
abstract: This case required enhancement of esthetics and reduction of long-term risk of pathologic tooth wear and decay, as well as minimizing erosion caused by innate and environmental influences. The author weighed patient expectations, diet, treatment of teeth, and age to create a treatment plan that would conserve tooth structure while accomplishing the goals of the case. The patient's dentition was restored utilizing intact enamel, adhesive dentistry, and etchable ceramic materials that require less than 1 mm of occlusal reduction without a significant loss of strength. In this case, opening the vertical dimension of occlusion--which was done to increase the height of both the maxillary and mandibular arches, in keeping with the patient's esthetic desires--eliminated the need to remove excessive amounts of healthy tooth structure and facilitated treatment of the occlusal dysfunction.
authors.forename: K Michael
authors.initials: KM
authors.lastname: Palmer
mesh_terms: D000328:Adult; D002012:Bruxism / Q000628:therapy; D001840:Dental Bonding; D003731:Dental Caries / Q000628:therapy; D003776:Dental Porcelain / Q000737:chemistry; D017267:Dental Prosthesis Design; D003801:Dental Veneers; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D010347:Patient Care Planning; D018570:Risk Assessment; D014072:Tooth Abrasion / Q000628:therapy; D014077:Tooth Erosion / Q000628:therapy; D019246:Tooth Preparation / Q000379:methods*; D057085:Tooth Wear / Q000628:therapy*; D016896:Treatment Outcome; D014716:Vertical Dimension
chemical_list: C508050:IPS e.max Press; C493120:lithia disilicate; D003776:Dental Porcelain