Combining traditional and adhesive dentistry to reconstruct the excessively worn dentition

Adhesive dentistry has changed the face of traditional dentistry and has the potential to improve esthetics and reduce tooth preparation. However, the materials and techniques used in adhesive dentistry are generally more technique sensitive than those used in traditional dentistry. It is, therefore, important that strict guidelines and protocols are followed to ensure long-term success. Clinicians must be able to determine where adhesive techniques and materials can be used and where traditional, biomechanically sound techniques and materials should be used. There appears to be an increasing trend of young to middle-aged patients presenting with advanced generalized tooth surface loss. These dentitions are conducive to treatment that combines traditional and adhesive materials and techniques. This article discusses guidelines for treatment of these dentitions and outlines the clinical treatment involved in the full-mouth rehabilitation of a worn dentition using a combination of all-ceramic crowns, porcelain and gold onlays, and porcelain veneers.