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International Journal of Esthetic Dentistry  (English Edition)
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Int J Esthet Dent 10 (2015), No. 4     24. Sep. 2015
Int J Esthet Dent 10 (2015), No. 4  (24.09.2015)

Page 576-586, PubMed:26794053


Treatment of a case of serious occlusal instability associated with TMDs through a modern miniinvasive approach
Tirone, Federico / Salzano, Stefano / Borga, Francesco Coero / Guarnieri, Nicola / Rolando, Erik
Background: The latest trends in restorative dentistry are guided both by esthetic and mini-invasive procedures. New ceramic materials, such as lithium disilicate, allow the clinician to obtain invisible restorations with a minimum preparation thickness.
Summary: A young female patient presented at our practice with left temporomandibular closed locking and uncomfortable occlusal instability. After manual reduction, medical therapy, and reversible treatment with a stabilization splint, a mini-invasive lithium disilicate occlusal inferior posterior rehabilitation was conceived and performed. The esthetic integration of the onlay restorations was excellent, no fractures had occurred by the time of the 1-year follow-up, and the patient perceived the dental occlusion as comfortable.
Conclusion: We strongly believe that a careful approach to esthetics is mandatory nowadays, including in the case of posterior teeth. New ceramic materials and the latest adhesive techniques make it possible to resort to mini-invasive and esthetic approaches, even in cases of restorations that are difficult in terms of functionality.
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