Through the restoration of heavily broken down teeth and replacement of lost teeth in worn dentition, prosthodontic rehabilitation aims to restore form, function and aesthetics and bring about relative stability of dental arches. Rehabilitative strategies may range from the mainstay of conventional fixed and removable prosthodontics to an increasing trend of adhesive techniques. It is important to note that there is no absolute stability under hostile oral conditions. Hence, it is crucial to identify, control and eliminate (if possible) the aetiological factors that may have resulted in the predicament in the first place, as this may help to prolong the success and survival of restored dentition. This course is designed to provide a better understanding in the identification of aetiological factors, diagnosis and treatment planning with various management approaches available in the treatment of worn dentition.

Key Topics to be covered:

• Types of tooth wear and aetiological factors:
  • Physiological vs pathological wear.
  • Attrition, Abrasion, Abfraction, Erosion, Congenital tooth disorders.
• Treatment approach:
  • Remineralisation techniques.
  • Dentine bonding agents and direct composites.
  • Prosthodontic rehabilitation.
    • Amount of interarch prosthetic space available.
    • Adequacy of remaining tooth structure for retention and resistance form.
    • Conformative vs reorganised approach.
    • Wear distribution – localised or generalised wear.
    • Auxiliary techniques:
    • crown lengthening;
• elective endodontics;
• orthodontic intervention;
• dahl technique;
• utilisation of horizontal centric slide;
• orthodontic and orthognathic surgical intervention.
  • Choice of appropriate OVD and occlusal scheme.
  • Choice of restorative materials.
  • Conventional vs adhesive techniques.
  • Maintenance of prosthodontic rehabilitation.
• Case Illustrations