Treatment of localized anterior toothwear with composite restorations at an increased occlusal vertical dimension

Patients may present with localized anterior toothwear, complaining of poor appearance or sensitivity, or both. Restoration of these teeth continues to cause problems, especially if interocclusal space has been lost. Conventional treatment to satisfy the patient's aesthetic and functional demands is time consuming and requires careful maintenance. This paper describes the use of chairside composite resin restorations in the treatment of localized anterior toothwear. Interoccusal space is provided by placing the restorations at an increased vertical dimension of occlusion. It enables the presenting complaint to be resolved while restoring structure, function and appearance.