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Restoration of the worn dentition using aesthetic dental materials: an evidence-based guide to technique and material selection Shamir B Mehta Subir Banerji Jose Suarez Feito Bas AC Loomans Aesthetic Update 2025 1:3, 128-136.
Programme Director MSc in Aesthetic Dentistry, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London; Visiting Professor, Department of Dentistry, Radboud University Medical Centre, Nijmegen, Netherlands
BDS, MClinDent (Prostho), PhD, FDS RCPS (Glasg), FCGDent (UK) ,FDTFEd (RCS Ed), Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London; Professor, School of Dental Health and Care Professions, University of Portsmouth; Associate Professor, Department of Prosthodontics, Melbourne Dental School, University of Melbourne; Private Practice, Ealing, London
MD, BSc, MClinDent (Prostho), MSc, PhD, Visiting Professor, International University of Catalunña; Visiting Professor for Masters in Periodontics, University of Oviedo; Private Practice, Oviedo, Spain
There are several techniques and dental materials that can be used for the restorative rehabilitation of the worn dentition. Currently, however, there is the lack of clear scientific data to support the superiority of any given approach. An evidence-based overview is presented in this article, to help clinicians navigate this difficult decision-making process.
CPD/Clinical Relevance:
This article collates the research, aiming to appraise the current techniques and materials available for the restorative rehabilitation of the worn dentition.
Article
Tooth wear is an increasing concern in dentistry. When severe, it can significantly diminish a patient's quality of life, often as a result of aesthetic changes.1,2 Consequently, some patients may seek restorative care to address their aesthetic needs.
Restorative rehabilitation for worn dentitions is complex, time-consuming, and expensive, requiring ongoing maintenance and review once initiated. Therefore, in the absence of functional concerns or patient demand, it may be improper to recommend extensive restorative treatment. For patients with moderate to severe pathological wear, the likelihood of future restorative intervention can be higher. As such, counselling, preventive measures and monitoring should be prioritized as the first approach.3 Effective management of the underlying causes is crucial to prevent premature failure of any restorative work.
Dentists must understand when and how to address tooth wear. The timing of restorative rehabilitation is complex and requires consideration of the extent of the damage, symptoms, wear progression, and the impact of the presentation the patient's quality of life.4 This article provides insights into how current evidence-based approaches can guide treatment planning, including technique selection and material choice for managing the worn dentition.
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