Occlusion: is there a third way? A discussion paper.

Area of Science:

• Restorative Dentistry
• Dental Biomaterials
• Prosthodontics

Background:

• Traditional approaches for increasing vertical dimension in worn dentition often involve complex protocols.
• An alternative approach using adhesive direct restorations is emerging, with anecdotal evidence of success.
• This method may not adhere to the traditional terminal hinge axis (THA) principles.

Purpose of the Study:

• To explore a non-traditional approach to increasing vertical dimension in worn dentition.
• To stimulate debate and research into alternative restorative protocols.
• To suggest parameters for a new approach aimed at improving patient outcomes.

Main Methods:

• The study reviews anecdotal evidence and discusses the potential of adhesive direct restorations.
• It contrasts this with the established 're-organised approach' and THA protocols.
• The paper focuses on the clinical outcomes and parameters for success.

Main Results:

• Anecdotal indications suggest that adhesive direct restorations can be successful even without restoring in the terminal hinge axis.
• This approach deviates from traditional methods but shows potential for positive patient outcomes.
• Further research is needed to validate these findings.

Conclusions:

• A new approach to increasing vertical dimension using adhesive restorations may be viable, challenging traditional dental care concepts.
• Further investigation and research are warranted to establish protocols and confirm efficacy.
• The focus is on improving patient outcomes through potentially less invasive or complex methods.