Composite resin as treatment minimally invasive in a patient with alteration in anterior guidance due to attrition

Abstract

Dental wear is the loss of hard tissue of multiple etiologies; it may be due to functional or parafunctional factors, at the level of incisal edges and cusps. Knowing the causative factors and the way of classification, it must be taken into account that it can result in the loss of vertical dimension of occlusion (VDO), dental sensitivity and decreased quality of teeth life. We executed a simplified clinical protocol in the treatment of minimally invasive restorations with composite resins in pathologically attrited upper anterior teeth, in a 26-year-old male patient, who reports clenching his teeth during sleep, and claims to constantly under stress without justifiable cause, without the presence of any systemic disease. During the extraoral examination, no facial asymmetry was observed. During the intraoral examination, the presence of type I pathological dental wear facets was observed, which presents wear facets at the incisal edges and cusp. Rehabilitation was carried out using direct composite resins, to restore aesthetics-function, trying to restore the vertical dimension, providing the natural anatomy of the teeth. In conclusion, the rehabilitation of teeth with wear can be carried out using different methods, techniques and materials, limited only to a preparation of the peripheral enamel, close to the attrition area. The selection of technique and materials was made based on the patient's possibilities, both functional, aesthetic and economic. technique and materials was made based on the patient's possibilities, both functional, aesthetic and economic.