Tooth Wear: The Quintessential Challenge

Progressive, irreversible and multifactorial in origin, tooth wear obliges the clinician to look at the patient before the tooth. The authors propose an integrative route that begins with early detection — saliva and the oral microbiome, unstimulated salivary flow, lifestyle and health questionnaires — and moves on to digital data capture and cross-mounting as the basis of the treatment plan. On the therapeutic side it covers additive porcelain veneers, the occlusal scheme with vertical dimension and centric relation, partial and complete crowns, orthodontics to intercept wear or to regain space, and implants in the face of severe vertical collapse. It closes with prevention and maintenance. In English.