Search

Purpose: The aim of this case report is to show an effective and minimally invasive way to treat dentition which suffered the effects of severe acid erosion. Case Report: The patient was a 51-year-old man who presented with complaints about the appearance of his teeth. The patient reported he had been suffering from gastroesophageal reflux disease for 7 years and that he had not undergone any dental treatment except for 3 direct restorations performed 15 years before. Clinical and radiographical examinations showed a severely worn dentition presenting the typical pattern of acid erosion and a concrete loss in vertical dimension of occlusion (VDO). All teeth responded positively to the dental pulp vitality test, so it was decided to perform minimally invasive full-mouth restorations with lithium disilicate veneers to restore form and function of the dentition. First, the increase of VDO was determined. Then the Digital Smile Design (DSD) protocol was used to create a preview of the new shape and dimension of the teeth, produce a wax-up of the restored dentition, and two silicon indexes to create the mock-up. Subsequently, the mock-up on the worn teeth was printed and phonetic tests were performed. Since the patient was satisfied with the esthetics and function of the new dentition, we proceeded with our therapy plan. We performed a mock-up--driven preparation technique which resulted in minimally invasive preparations, and took VPS impressions for lithium disilicate veneers that were cemented in different appointments starting from the posterior areas, and carefully following the adhesive cementation protocol. Results: The rehabilitation successfully restored form and function of the dentition. At the 6-month recall, the patient was satisfied and the veneers were perfectly integrated with the surrounding soft tissues. Conclusion: In case of severe acid erosion, the presented protocol represents a viable, predictable, and minimally invasive therapeutic option. [ABSTRACT FROM AUTHOR]