Functional Esthetic Rehabilitation of Severe Erosive Tooth Wear Using Aligner Therapy and an Additive Digital Workflow - Report - MDSpire
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Functional Esthetic Rehabilitation of Severe Erosive Tooth Wear Using Aligner Therapy and an Additive Digital Workflow

  • By

  • Ryan Tak On Tse

  • September 1, 2026

  • 14 min

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Clinical Report: Functional Esthetic Rehabilitation of Severe Erosive Tooth Wear

Background

Severe tooth wear can significantly compromise both function and esthetics, necessitating careful management of occlusal vertical dimension (OVD). Increasing OVD is often required in full-mouth rehabilitation to create restorative space and harmonize esthetics, but it poses risks if not meticulously planned. This case highlights the importance of a comprehensive, interdisciplinary approach in managing complex dental conditions.

Data Highlights

No numerical data or trial data was provided in the article.

Key Findings

  • The patient presented with severe erosive wear linked to high-frequency cola consumption and bulimia nervosa.
  • A thorough diagnostic workup and patient-specific risk assessment are vital for successful rehabilitation.

Clinical Implications

The integration of aligner therapy in managing severe tooth wear can lead to more predictable outcomes in complex rehabilitations. Clinicians should conduct comprehensive assessments and collaborate with interdisciplinary teams to ensure optimal treatment planning.

Conclusion

This case illustrates the effectiveness of a digitally driven workflow and aligner therapy in the rehabilitation of severe erosive tooth wear, emphasizing the need for meticulous planning in managing occlusal vertical dimension changes.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Christopher CK Ho, BDS (Hon), Grad Dip Clin Dent, M Clin Dent, Compendium, 2014 -- Complex Esthetic and Functional Rehabilitation with an Additive, Minimally Invasive Restorative Approach
  3. Evidence-based, patient-centred management of tooth wear: 15-years insights from the Radboud Tooth Wear Project - ScienceDirect
  4. inside dental technology — Complex Esthetic and Functional Rehabilitation with an Additive, Minimally Invasive Restorative Approach
  5. compendium — Achieving Esthetic and Functional Objectives with Additive Equilibration
  6. Clinical performance of minimally invasive full-mouth rehabilitation using different materials and techniques for patients with moderate to severe tooth wear: a systematic review and meta-analysis - PubMed
  7. Clear aligner orthodontic treatment: An international modified Delphi consensus study - ScienceDirect
  8. Evidence-based, patient-centred management of tooth wear: 15-years insights from the Radboud Tooth Wear Project - ScienceDirect

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