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

Category	Detail
Condition	Severe Erosive Tooth Wear
Key Mechanisms	Increasing occlusal vertical dimension (OVD) to create restorative space and optimize esthetics and function.
Target Population	Patients with severe dental erosion, particularly those with Angle class I occlusions.
Care Setting	Restorative dentistry with a focus on interdisciplinary collaboration.

Aligner therapy aids in correcting anterior relationships and optimizing space distribution.
Increasing OVD is critical for full-mouth rehabilitation in cases of severe tooth wear.
A comprehensive diagnostic workup and risk assessment are essential for successful outcomes.
Potential adverse effects of increasing OVD include compromised esthetics and patient discomfort.
Minimally invasive restorative protocols are emphasized to preserve tooth structure.

Conduct a thorough diagnostic workup including medical history and intraoral examination.

Utilize aligner therapy and digital workflows for treatment planning and execution.

Regularly assess the patient's adaptation to changes in occlusal vertical dimension.

Monitor for potential adverse effects such as altered phonetics and transient muscular symptoms.

Adults with severe erosive tooth wear and history of bulimia nervosa.

A multidisciplinary approach is necessary to achieve functional and esthetic goals.

Implement a collaborative interdisciplinary approach for complex cases.
Use digital mockups and virtual prosthetic design to guide restorative treatment.
Prioritize minimally invasive techniques to enhance adhesive predictability.

Clinical Scorecard: Functional Esthetic Rehabilitation of Severe Erosive Tooth Wear Using Aligner Therapy and an Additive Digital Workflow