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Duration: 57 minutes, 59 seconds

Author: Dr. Didier Dietschi

Conservative Rehabilitation of Abrasion Erosion Cases


Abrasion and erosion are common dental issues that can result in the shortening of front teeth and compromise the patient’s smile. In this article, we will discuss the potential of adhesive techniques in solving complex abrasion and erosion cases while maintaining a conservative approach.

Acknowledging the Contribution

Before delving into the details, it is essential to acknowledge the collaborative effort required to address these challenging cases. The speaker recognizes the contribution of their dental team and other partners, including dental technicians and specialists, in achieving successful outcomes.

Case Presentation

The speaker will present a case illustrating the impact of abrasion and erosion on a patient’s smile. The case emphasizes the need for comprehensive rehabilitation to restore both the aesthetics and functionality of the teeth.

Choosing the Right Treatment

When faced with a patient suffering from shortening of front teeth due to abrasion and erosion, a critical question emerges: should the treatment be conservative or involve full prosthodontics?

Benefits of Conservative Treatment

A conservative approach focuses on preserving as much healthy tooth structure as possible while still achieving optimal results. This approach helps minimize invasiveness and maintains the natural teeth’s integrity and longevity.

Considerations for Full Prosthodontics

Full prosthodontics, on the other hand, involves complete restoration or replacement of the affected teeth. While this option provides a highly esthetic outcome, it requires a more invasive procedure, potentially involving the removal of healthy tooth structure.

Comprehensive Treatment Approach

The speaker will outline a comprehensive treatment approach that combines conservative techniques with adhesive dentistry to effectively rehabilitate abrasion and erosion cases.

Treatment Strategies Based on Tissue Loss

The choice of treatment depends on the extent of tissue loss. The speaker will discuss various strategies, including direct composite restorations, indirect restorations (such as veneers or crowns), and orthodontic alignment to manage tissue loss and restore the patient’s smile.

Choice of Material

The selection of the most appropriate material is crucial to achieve long-lasting and esthetically pleasing outcomes. The speaker will explore the advantages and disadvantages of different materials, such as state-of-the-art composites, ceramics, or a combination thereof.

Longevity and Maintenance

Ensuring the longevity of restorations and maintaining their optimal condition are vital factors in rehabilitating abrasion and erosion cases. The speaker will provide insights into proper maintenance protocols and regular follow-up appointments to safeguard the restorations’ integrity in the long term.


Conservative rehabilitation of abrasion and erosion cases offers a viable and aesthetic solution while prioritizing the preservation of natural tooth structure. By employing adhesive techniques, dentists can effectively address these complex cases and restore their patients’ smiles while maintaining optimum oral health.

Frequently Asked Questions

1. How long does the conservative rehabilitation process take?

The duration of the conservative rehabilitation process varies depending on the individual case’s complexity. Generally, it may take several appointments spread over a few weeks to achieve the desired results.

2. Is conservative treatment suitable for all patients?

Conservative treatment is often suitable for patients with mild to moderate abrasion and erosion cases. However, the treatment plan should be tailored to each individual’s specific needs and oral health condition.

3. Will the restorations look natural?

Yes, with advancements in dental materials and techniques, restorations can be customized to match the color, shape, and translucency of natural teeth, ensuring a seamless and natural appearance.

4. How to maintain the longevity of the restorations?

Maintaining good oral hygiene practices, such as regular brushing and flossing, along with scheduled dental check-ups, can significantly contribute to the longevity of the restorations. Avoiding habits like teeth grinding and biting on hard objects is also essential.

5. Can conservative rehabilitation prevent further tooth damage?

Conservative rehabilitation aims to restore damaged teeth and prevent further deterioration by reinforcing weakened tooth structure and providing additional protection against abrasion and erosion. However, proper oral hygiene practices and regular dental visits are vital to overall oral health and preventing further damage.

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