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

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Increasing occlusal vertical dimension (OVD) is critical in managing severely worn dentition but remains controversial due to potential adverse effects.
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A digitally driven workflow integrating aligner therapy can optimize function and esthetics in full-mouth rehabilitation for patients with severe erosive wear.
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The case study involved a 47-year-old male with severe dental erosion linked to high-frequency cola consumption and a history of bulimia nervosa.
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Comprehensive treatment planning included orthodontic therapy to correct anterior relationships and a minimally invasive restorative approach to preserve enamel.
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The multidisciplinary approach aimed to achieve a predictable outcome while minimizing biological costs and addressing the patient's functional and esthetic needs.

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