The Japanese Journal of Clinical Dentistry
Online ISSN : 2759-1883
Print ISSN : 2435-8517
Occlusal reconstruction treatment on erosive tooth wear patients with occlusal colapse
Kazumasa Tanio
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2024 Volume 10 Issue 1 Pages 92-100

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Abstract
Patients: We report two cases in which treatment plans were designed based on Turner’s classification, aiming to restore function in patients whose oral cavities had collapsed due to acid erosion. Discussion: In treating patients with occlusal collapse caused by erosion, it is essential to assess the presence of mandibular position discrepancy (between centric relation and maximum intercuspation), compensatory tooth extrusion depending on the rate of tooth wear progression, and reduction in occlusal vertical dimension. Successful outcomes require a thorough understanding of each patient’s individual condition. It is also necessary to select appropriate restorative options—such as crowns, occlusal veneers, and laminate veneers—tailored to the patient’s needs, in order to achieve optimal occlusion (anterior guidance, vertical stop) and stabilize the periodontal tissues. Conclusions: By understanding the lifestyle and preferences of each patient, referring to Turner’s Tooth Wear classification, and providing treatment with consideration for MI (minimally invasive) principles, we can offer long-term care that matches the progression of each case of dental erosion. This approach contributes to improved oral function and aesthetics.
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© 2024 Society of Japan Clinical Dentistry
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