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ePaper created 2018-02-16, 10:54:19 | version 1.38.0
| case report aesthetic and restorative dentistry Fig. 2d Fig. 2e Figs. 2d & e: Pre-op diagnostic wax-up, creating a new and improved occlusal and anatomical posterior scheme. The full-mouth wax-up is made prior to treatment and establishes the new VDO. Silicone indexes can serve to build-up lingual and buccal cusps to the correct level if needed. Figs. 2f–l: Details of the treatment performed in the lower left and upper corroborated by several recent papers and review ar ticles.1519 Increasing the VDO is a key parameter for reversing and preventing the consequences of patho logical wear and erosion.2025 The passive eruption that accompanies the continuous tissue destruction and loss, tremendously restricts the space available for restorations, which due to their limited thickness, would be very fragile or otherwise require unneces sary removal of the residual tooth structure. Recent clinical reports have largely validated this treatment approach.2325 Treatment outline and restorative options The decision regarding the optimal restorative choice is usually based on the preexisting dental condition (presence of decay, restoration, vital or nonvital sta tus), as well as the amount and localisation of tissue loss. This means that various restorative options have to be considered and that treatment planning is highly individual (toothspecific). The therapeutic scheme is logically oriented toward reestablishing Fig. 2f Fig. 2g Fig. 2h Fig. 2i 28 cosmetic dentistry 1 2017