Current concepts on the management of tooth wear: part 2. Active restorative care 1: the management of localised tooth wear

Metal Veneer – A Case Report

“…4 In the studies which assessed the efficacy of the Dahl concept by Poyser et al in 2005, a success rate of between 94-100% has been reported. 5 Metal veneer is a thin shell of Type III gold alloy or alloys based on nickel-chromium type of restoration that can use to protect worn and vulnerable tooth surfaces from the effects of further wear.…”

“…7 The main downside of metal veneer is cosmetically unacceptable as it may result in a dulled appearance of the restored tooth or even the 'shine through' of metallic grey on incisal edges. 4,7 This is very difficult to overcome even with the advent of opaque or tooth coloured resin cements thus comprehensive treatment planning and patient consent are important factors to success. 4 The other disadvantage is metal veneer need copious and good quality of enamel in order to achieve acceptable bond interface.…”

“…4,7 This is very difficult to overcome even with the advent of opaque or tooth coloured resin cements thus comprehensive treatment planning and patient consent are important factors to success. 4 The other disadvantage is metal veneer need copious and good quality of enamel in order to achieve acceptable bond interface. Thus, heavily restored worn tooth may consider Metal veneer restoration is one of the options to manage localised anterior tooth wear that could lead to a promising result.…”

“…Furthermore, neglecting restorative management in these cases may result in exposure of pulp. 4 Management of tooth wear can be very challenging in obtaining an accurate diagnosis, as well as appropriate time to implement active restorative intervention.…”

Current concepts on the management of tooth wear: part 3. Active restorative care 2: the management of generalised tooth wear

“…The indications for active restorative intervention for a patient presenting with pathological tooth wear have been discussed in detail in paper 2. 2 For descriptive purposes, the restorative management of patients presenting with generalised tooth wear (TW) will be considered according to the three categories described by Turner and Missirilian,…”