Treatment of dentate patients with extremely worn teeth, deep vertical overlap and a history of bruxism, erosion, clenching and TMJ disorders all present difficult and time-consuming management scenarios.
These complex clinical presentations with significant tooth surface loss both in the partially edentulous and fully dentate patient require in-depth diagnosis with the necessary laboratory work up at the planning and design phase prior to embarking on sequenced treatment.
Multiple treatment sessions and periods of Provisionalisation with interim restoration may be required to provide predictable outcomes.
