Tooth wear - Full-mouth reconstruction
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.