Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept
Localized anterior maxillary tooth wear caused by erosion/attrition with loss of interocclusal space needs complex management. This observational case-series study reports eight cases with worn anterior dentition, treated with sandwich-veneers at an increased vertical dimension of occlusion without...
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| Format: | Article |
| Language: | English |
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Hungarian Dental Association
2022-06-01
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| Series: | Fogorvosi Szemle |
| Subjects: | |
| Online Access: | https://ojs.mtak.hu/index.php/fogorv-szemle/article/view/8751 |
| _version_ | 1828012174401863680 |
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| author | Edina Lempel Sarolta Gyulai Kinga Dorottya Németh |
| author_facet | Edina Lempel Sarolta Gyulai Kinga Dorottya Németh |
| author_sort | Edina Lempel |
| collection | DOAJ |
| description | Localized anterior maxillary tooth wear caused by erosion/attrition with loss of interocclusal space needs complex management.
This observational case-series study reports eight cases with worn anterior dentition, treated with sandwich-veneers
at an increased vertical dimension of occlusion without restoration of unaffected posterior teeth.
48 palatal direct veneers were fabricated in eight patients from nanohybrid resin composite using a wax-up based
template at an increased vertical dimension. 54 labial lithium-disilicate ceramic veneers were made after the complete
re-establishment of posterior occlusion. The sandwich veneers were evaluated after a mean service time of 35.1 months
according to the USPHS criteria. Re-establishment of posterior contacts, subjective patient satisfaction and function were
also evaluated.
The overall survival of the sandwich-veneers is 100%. The success of the labial ceramic restorations was excellent. The
quality of the palatal resin composite veneers was found to be good. The marginal discoloration (70.8%), wear (45.8%),
surface roughness (20.8%) and marginal integrity (12.5%) showed small deteriorations. Firm posterior contacts re-established
within 4 weeks. Patient satisfaction was high concerning aesthetics and function. The short-term outcome of this
non-invasive sandwich-approach combined with the Dahl-concept is favorable and promising. |
| first_indexed | 2024-04-10T09:28:38Z |
| format | Article |
| id | doaj.art-52f13ab47e3c4f95af747ca770137f00 |
| institution | Directory Open Access Journal |
| issn | 2498-8170 |
| language | English |
| last_indexed | 2024-04-10T09:28:38Z |
| publishDate | 2022-06-01 |
| publisher | Hungarian Dental Association |
| record_format | Article |
| series | Fogorvosi Szemle |
| spelling | doaj.art-52f13ab47e3c4f95af747ca770137f002023-02-19T14:27:02ZengHungarian Dental AssociationFogorvosi Szemle2498-81702022-06-011152809310.33891/FSZ.114.2.80-938751Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl conceptEdina Lempel0Sarolta Gyulai1Kinga Dorottya Németh2Pécsi Tudományegyetem, Általános Orvostudományi Kar, Fogászati és Szájsebészeti Klinika, Konzerváló Fogászati és Parodontológiai TanszékPécsi Tudományegyetem, Általános Orvostudományi Kar, Fogászati és Szájsebészeti Klinika, Konzerváló Fogászati és Parodontológiai TanszékPécsi Tudományegyetem, Általános Orvostudományi Kar, Fogászati és Szájsebészeti Klinika, Konzerváló Fogászati és Parodontológiai TanszékLocalized anterior maxillary tooth wear caused by erosion/attrition with loss of interocclusal space needs complex management. This observational case-series study reports eight cases with worn anterior dentition, treated with sandwich-veneers at an increased vertical dimension of occlusion without restoration of unaffected posterior teeth. 48 palatal direct veneers were fabricated in eight patients from nanohybrid resin composite using a wax-up based template at an increased vertical dimension. 54 labial lithium-disilicate ceramic veneers were made after the complete re-establishment of posterior occlusion. The sandwich veneers were evaluated after a mean service time of 35.1 months according to the USPHS criteria. Re-establishment of posterior contacts, subjective patient satisfaction and function were also evaluated. The overall survival of the sandwich-veneers is 100%. The success of the labial ceramic restorations was excellent. The quality of the palatal resin composite veneers was found to be good. The marginal discoloration (70.8%), wear (45.8%), surface roughness (20.8%) and marginal integrity (12.5%) showed small deteriorations. Firm posterior contacts re-established within 4 weeks. Patient satisfaction was high concerning aesthetics and function. The short-term outcome of this non-invasive sandwich-approach combined with the Dahl-concept is favorable and promising.https://ojs.mtak.hu/index.php/fogorv-szemle/article/view/8751worn anterior teethdecreased vertical dimensionpalatal resin composite veneerlabial ceramic veneersandwich approachdahl-concept |
| spellingShingle | Edina Lempel Sarolta Gyulai Kinga Dorottya Németh Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept Fogorvosi Szemle worn anterior teeth decreased vertical dimension palatal resin composite veneer labial ceramic veneer sandwich approach dahl-concept |
| title | Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept |
| title_full | Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept |
| title_fullStr | Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept |
| title_full_unstemmed | Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept |
| title_short | Adhesive rehabilitation of localized anterior tooth wear in combination with the Dahl concept |
| title_sort | adhesive rehabilitation of localized anterior tooth wear in combination with the dahl concept |
| topic | worn anterior teeth decreased vertical dimension palatal resin composite veneer labial ceramic veneer sandwich approach dahl-concept |
| url | https://ojs.mtak.hu/index.php/fogorv-szemle/article/view/8751 |
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