Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2022  |  Volume : 26  |  Issue : 1  |  Page : 83-88

An interdisciplinary approach for reconstruction of worn dentition

Division of Periodontology, Faculty of Dental Sciences, IMS BHU, Varanasi, Uttar Pradesh, India

Correspondence Address:
Farhan Durrani
D 37/40, Baradeo Godowlia, Varanasi - 221 005, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_690_20

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Complete tooth wear dentition is multifactorial and has challenges with diagnosis and etiology. Their rehabilitation often requires orthognathic surgery, orthodontics, periodontal surgery, and prosthodontic guidelines for occlusion with harmonious facial and dental esthetics. A patient needs a multidisciplinary approach with systematic analysis to formulate evidence-based approach to improve function and esthetics. Contemporary periodontal therapy also encompasses esthetic treatment where needs are frequently associated with changes in tooth size, shape, proportion, and balance that can adversely affect smile appearance. The article provides an evidence-based guideline for reconstruction of a worn dentition. The completed work includes crown lengthening, provisionalization, socket shield technique, oral implants, and gain in lost vertical dimension with occlusion correction and minimally invasive prosthetic restorations.

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