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ePaper created 2017-05-10, 09:20:47 | version 1.38.0
case report _ aesthetic and restorative dentistry Fig. 2j Fig. 2k A highly filled homogenous nanohybrid material (inspiro) was used and sculpted before light curing, enabling proper anatomy and function to be established. Fig. 2l ered and that treatment planning is highly indi- vidual (tooth-specific). The therapeutic scheme is logically oriented toward re-establishing first proper length of the central incisors and anteri- or guidance, governing thereafter the new VDO. Proper anterior tooth anatomy and function are designed according to objective aesthetic guide- lines,26 existing and former tooth anatomy, as well as functional and phonetic components. The first step entails producing study casts in the form of a partial (in the case of moderate posterior tissue loss) or full-mouth wax-up (in the case of advanced generalised tooth wear or erosion; Fig. 1). Figs. 2m & n_The same treatment sequence was applied to all of the lower and upper quadrants. These images show that composite serves both to fill existing cavities and to replace eroded or worn tissue, creating better function, restabilising proper anatomy and aesthetics, and finally protecting damaged tissue from further degradation. This is an ideal treatment protocol for moderate tooth wear combined with small Class I and II cavities. Fig. 2m Fig. 2n 17 cosmetic dentistry 2_2017