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Multidisciplinary management of advanced complexity tooth wear cases: patient needs beyond the direct and indirect restorations dichotomy Gareth Calvert William Keys Khaled E Ahmed Dental Update 2024 50:10, 707-709.
There is increased evidence supporting the different management modalities of tooth wear, be it direct or indirect resin composite through an additive approach, or ceramics through a subtractive one. However, there remains a cohort of patients with complex clinical case presentations that require careful assessment, formulation of a multidisciplinary treatment plan, and the delivery of a restorative-led systematic intervention involving additional oral surgery or orthodontic specialties. This case series presents the multidisciplinary management of advanced complexity tooth wear cases, with treatment needs extending beyond the scope of direct and indirect restorative management, through a systematic treatment planning approach.
CPD/Clinical Relevance: To highlight the potential multidisciplinary management options of tooth wear.
Article
Pathological tooth wear affects a significant cohort of the population,1,2 and has a known impact on the quality of life of patients, especially with regard to aesthetics and function.3–6 Early diagnosis, prevention and stabilization are the fundamental stages in managing all tooth wear cases, with the provision of restorative treatment reserved as a last resort.7–9 Nonetheless, restorative treatment is essential, and costly, for certain tooth wear cases, especially for those least able to afford it given the association between socio-economic status and tooth wear.10,11
There is increased robustness in evidence supporting the different management modalities of tooth wear, be it direct or indirect resin composite through an additive approach, or ceramics through a subtractive one.12–16 However, there remains a cohort of patients with complex clinical case presentations that require careful assessment, formulation of a multidisciplinary treatment plan, and the delivery of a restorative-led systematic intervention involving additional oral surgery or orthodontic specialties.17 This case series presents the multidisciplinary management of advanced complexity tooth wear cases, with treatment needs extending beyond the scope of direct and indirect restorative management, through a systematic treatment planning approach.
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