Rehabilitation of Worn Dentition with CAD-CAM Restorations: A Case Report.

Purpose: To describe the digital workflow applied for restoring a severely worn dentition with minimally invasive CAD/CAM resin nano-composite restorations.

Materials and methods: A 40-year-old male in good general health and with full-arch dentition suffered from dentin hypersensitivity and wanted to improve the esthetics of his worn anterior teeth. The dental wear can be described as general, grade 3, according to the Tooth Wear Index,27 with more wear in maxillary than in mandibular teeth. Signs and symptoms were typical for a chemical type of wear, with some mechanical wear also apparent. No functional problems, eg, impaired chewing, were present. On the OHIP-49 questionnaire, the patient expressed a reduced quality of life. The goal of the treatment was to reconstruct the anatomical form of the teeth as far as possible, thereby also improving quality of life. Due to the rather large volume of lost tooth tissue per tooth, indirect treatment using CAD/CAM resin nano-composite restorations (LAVA Ultimate, 3M Oral Care) was applied.

Results: The seating of the CAD/CAM resin nano-composite restorations (LAVA Ultimate, 3M Oral Care) restorations was considered precise.

Conclusion: In the treatment of severe tooth wear, the described digital workflow using CAD/CAM restorations for occluding restorations and direct composite materials in the esthetic zone is a potential treatment modality that is workable and minimally invasive.