Full-mouth reconstruction with ceramic veneers for worn teeth – Patrick’s story

Tooth wear - Full-mouth reconstruction

Step-by-step video demonstration to see how a full-mouth reconstruction transformed our patient ́s smile

Because the occlusal vertical dimension is related to the teeth, tooth wear is suspected to cause modifications in a dental restoration. Physiological loss of dental enamel structure has been reported as varying from 0.02 to 0.04 mm per year. It is not considered an issue if the patient does not relate discomfort. However, processes such as attrition, abrasion and erosion (especially these combinations) can cause severe tooth wear and generate symptoms categorized as pathological.

Turrell described various methods to assess the occlusal vertical dimension. The phonetic approach, based on correlation of the inter occlusal distances (freeway space), position of the occlusal plane and the position of the tongue relative to the teeth during speech is a widely used and reported method. However, no method is considered completely accurate. The clinical experience of the dental team usually has the major role in treatment processes. 

 

Full-mouth restoration - Adhesive bonding

The present video explains a step-by-step dental restoration cementation

Adhesive bonding techniques in combination with tooth-colored restorative materials are one of the greatest achievements of restorative dentistry. Bonded restorations made from lithium silicate ceramic materials have contributed significantly to this.

Ceramic veneers had long been considered to be only esthetic implements. However, their range of indications has been steadily increasing, making ceramic veneers a highly viable alternative to classic, far more invasive forms of restorative treatment. Today these veneers are used to restore the biomechanics of the dentition, to establish adequate function, to mask highly discolored endodontically treated teeth, and for many other purposes.

Ceramic Veneers - Increasing vertical dimension of occlusion

Full-mouth reconstruction for an esthetic smile design with an innovative ceramic material

This Keynote photo selection includes:

  1. analyzing the patient
  2. defining the treatment goal, determining the right shade
  3. selecting the most suitable ceramic material
  4. finding the best preparation design
  5. choosing the most appropriate adhesive concept
  6. bonding procedure
  7. final restoration