Minimizing Risk While Adapting to Treatment Complications: A Case Report

Functional diagnoses can sometimes be ambiguous. An occlusal disorder may be paired with a parafunctional condition, as in the case presented, which features a patient who experienced anterior tooth chipping and thinning of maxillary incisal edges. The case demonstrates the principles of risk-based treatment planning and discusses challenges involved in identifying and evaluating all the evidence to maximize restorative treatment plan success. In this case, functional risk during mastication was reduced using orthodontic therapy, and a nightguard was employed to combat destructive forces during sleep. Feldspathic veneers were used to decrease the esthetic risk. The case also offers an approach for addressing unforeseen treatment complications without increasing risk for further potential problems.