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New paradigm in worn dentition: the full mock up concept
Treating tooth wear has increased over the last two decades. Nevertheless, the treatments involved have not been satisfactory to most patients, nor have they achieved the expected goal in some worn teeth scenarios. New approaches have emerged to reconstruct full arches in a minimally invasive way. These new concepts constitute a revolution in dentistry and their application requires adapted technique and training to achieve optimal results.

The purpose of this session is to suggest a precise and reproducible method that simplifies the treatment of worn dentition. A wax up and a mock-up is mostly used for designing aesthetic outcomes, and then used as a guide (preparation through the mock up or the wax up- apt for the preparation of anterior teeth). The technique can also be used on the posterior occlusal surfaces of the teeth. This will not only provide the exact new vertical dimension of the occlusion but also let the dentist use it as a guide for precisely controlling occlusal preparation simultaneously with buccal preparation.

The classical cavity design for a partial bonded restoration on posterior worn dentition will also be reviewed. The author believes that during the preparation of the occlusal surfaces of the posterior teeth, the marginal ridges must be preserved to reduce the biological cost and the mechanical stress leading to fracture. A new type of thin and reduced restoration called “table top” is presented.
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