title: Treatment of a case of serious occlusal instability associated with TMDs through a modern mini-invasive approach.
abstract: BACKGROUND
  The latest trends in restorative dentistry are guided both by esthetic and mini-invasive procedures. New ceramic materials, such as lithium disilicate, allow the clinician to obtain invisible restorations with a minimum preparation thickness.
  
  
  CONCLUSIONS
  A young female patient presented at our practice with left temporomandibular closed locking and uncomfortable occlusal instability. After manual reduction, medical therapy, and reversible treatment with a stabilization splint, a mini-invasive lithium disilicate occlusal inferior posterior rehabilitation was conceived and performed. The esthetic integration of the onlay restorations was excellent, no fractures had occurred by the time of the 1-year follow-up, and the patient perceived the dental occlusion as comfortable.
  
  
  CONCLUSIONS
  We strongly believe that a careful approach to esthetics is mandatory nowadays, including in the case of posterior teeth. New ceramic materials and the latest adhesive techniques make it possible to resort to mini-invasive and esthetic approaches, even in cases of restorations that are difficult in terms of functionality.
authors.forename: Federico
authors.initials: F
authors.lastname: Tirone
authors.forename: Stefano
authors.initials: S
authors.lastname: Salzano
authors.forename: Francesco Coero
authors.initials: FC
authors.lastname: Borga
authors.forename: Nicola
authors.initials: N
authors.lastname: Guarnieri
authors.forename: Erik
authors.initials: E
authors.lastname: Rolando
mesh_terms: D000328:Adult; D002012:Bruxism / Q000628:therapy; D016302:Centric Relation; D001840:Dental Bonding / Q000379:methods; D003768:Dental Occlusion, Centric; D003776:Dental Porcelain / Q000737:chemistry; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007284:Inlays; D007574:Jaw Relation Record / Q000379:methods; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D017090:Occlusal Splints; D024343:Open Bite / Q000628:therapy; D013705:Temporomandibular Joint Disorders / Q000188:drug therapy / Q000628:therapy*; D014072:Tooth Abrasion / Q000628:therapy; D019246:Tooth Preparation / Q000379:methods; D014716:Vertical Dimension
chemical_list: C493120:lithia disilicate; D003776:Dental Porcelain