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. 2026 Jan 9.
doi: 10.1111/jerd.70103. Online ahead of print.

Clinical Insights From an 11-Year and 6-Month Follow-Up of a Full-Mouth Lithium Disilicate Rehabilitation for Severe Tooth Wear

José Maurício Dos Santos Nunes Reis  1 , Filipe de Oliveira Abi-Rached  1 , Marcelo Antonialli Del'Acqua  2 , Bruno Arruda Mascaro  1 , Luis Felipe Rondón  1
Affiliations

Clinical Insights From an 11-Year and 6-Month Follow-Up of a Full-Mouth Lithium Disilicate Rehabilitation for Severe Tooth Wear

José Maurício Dos Santos Nunes Reis et al. J Esthet Restor Dent. .

Abstract

Objective: This article aims to describe the clinical execution and management of a full-mouth rehabilitation in a patient with severe tooth wear, utilizing partial and full-contour lithium disilicate restorations, with a long-term follow-up of 11 years and 6 months.

Clinical considerations: Over a follow-up of more than 11 years, this case provides in-depth clinical insight into identifying etiological factors, reestablishing the vertical dimension of occlusion, and implementing lithium disilicate restorations in both partial- and full-contour designs. It also addresses the management of underlying conditions and outlines the challenges encountered during long-term follow-up of a full-mouth rehabilitation for severe tooth wear.

Conclusions: The full-mouth rehabilitation using partial and full-contour lithium disilicate restorations for severe tooth wear demonstrated a favorable outcome. At 11+-year follow-up, the case exhibited appropriate mechanical behavior, preserved esthetic outcomes, and functional integrity, addressing the complex multifactorial etiological factors associated with tooth wear.

Clinical significance: Long-term success in rehabilitating patients with severe tooth wear relies not only on appropriately indicated and executed restorative treatment but also on an interdisciplinary approach that includes effective management of underlying etiological factors and parafunctional habits.

Keywords: early oral aging syndrome; full‐mouth rehabilitation; lithium disilicate; long‐term follow‐up; tooth wear.

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References

    1. R. L. Ibsen and D. F. Ouellet, “Restoring the Worn Dentition,” Journal of Esthetic and Restorative Dentistry 4, no. 3 (1992): 96–101.
    1. B. G. N. Smith, D. W. Bartlett, and N. D. Robb, “The Prevalence, Etiology and Management of Tooth Wear in the United Kingdom,” Journal of Prosthetic Dentistry 78, no. 4 (1997): 367–372.
    1. J. S. Almeida E Silva, L. N. Baratieri, E. Araujo, and N. Widmer, “Dental Erosion: Understanding This Pervasive Condition,” Journal of Esthetic and Restorative Dentistry 23, no. 4 (2011): 205–216.
    1. T. Donovan, C. Nguyen‐Ngoc, I. Abd Alraheam, and K. Irusa, “Contemporary Diagnosis and Management of Dental Erosion,” Journal of Esthetic and Restorative Dentistry 33, no. 1 (2021): 78–87.
    1. J. O. Grippo, M. Simring, and T. A. Coleman, “Abfraction, Abrasion, Biocorrosion, and the Enigma of Noncarious Cervical Lesions: A 20‐Year Perspective,” Journal of Esthetic and Restorative Dentistry 24, no. 1 (2012): 10–23.

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