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

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Tooth wear - Full-mouth reconstruction

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

Before treatment with partial ceramic crowns, the dentition should be checked for function and loss of substance. Pathological loss of dental enamel structure has been reported in studies as varying from 0.02 to 0.04 mm per year. Although, 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. The pathological tooth wear is recognized internationally as a growing problem.

Turrell described various methods to assess the occlusal vertical dimension (VDO). 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. 

Important key elements for the sustainability of complex rehabilitations:

  • Correct adjustment of the VDO
  • Correct adjustment of the centric condyle position
  • Stable anterior/canine guidance
  • Correct material selection
  • Luting technique of the restorations

That is why we also document the optimal fitting of the veneers for you.

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Full-mouth reconstruction - 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.

Learn more about the preparation of ceramic veneers in our tutorial with Prof. Dr. Daniel Edelhoff!

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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