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Clinical Master Magazine

38 — issue 2016 Esthetic and Restorative Dentistry Article Fig. 1 Comprehensive treatment scheme for anterior and posterior tooth wear or erosion. The length of the anterior teeth is reduced by combined wear or erosion (1). The VDO needs to be augmented (2). On the models and based on a wax-up, a new anterior guidance and smile line are established (3), from which an index is made and trans- ferred to the mouth when proceeding with posterior restorations (4). Three different conditions are encountered in the poste- rior areas: (a) no or minimal tooth loss (occlusal stops are made with composite of any type); (b) moderate tooth loss and/or small to medium- sized restorations (occlusal morphology is re-estab- lished with a hybrid com- posite and direct tech- nique); and (c) severe tooth loss and large metal-based restora- tions (occlusal morphology is re-established with indi- rect tooth-colored restora- tions—overlay). Fig.1 Article_Dietschi_00-00.qxp_Layout 1 02.03.16 20:47 Seite 3 Article_Dietschi_00-00.qxp_Layout 102.03.1620:47 Seite 3

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