Patient suffering from temporomandibular disorders and tooth wear.
The existing amalgam and composite restorations failed and multiple tooth fractures occurred.
A night guard was fabricated to find a position of the mandible comfortable enough to avoid both muscle and joint symptoms.
After treating the temporomandibular disorders, the new position of the mandible was recorded via an acrylic jig.
Both the anterior and posterior teeth were restored using a stress-reduced direct composite protocol at the established vertical dimension of occlusion.
Aesthetic and function were reestablished using a minimally invasive approach.
No post, no traditional dental crowns are required to complete a full mouth rehabilitation.