Multidisciplinary management of advanced complexity tooth wear cases: patient needs beyond the direct and indirect restorations dichotomy

Abstract

There is increased evidence supporting the different management modalities of tooth wear, be it direct or indirect resin composite through an additive approach, or ceramics through a subtractive one. However, there remains a cohort of patients with complex clinical case presentations that require careful assessment, formulation of a multidisciplinary treatment plan, and the delivery of a restorative-led systematic intervention involving additional oral surgery or orthodontic specialties. This case series presents the multidisciplinary management of advanced complexity tooth wear cases, with treatment needs extending beyond the scope of direct and indirect restorative management, through a systematic treatment planning approach. CPD/Clinical Relevance: To highlight the potential multidisciplinary management options of tooth wear.