Treatment of a Bruxism Patient with Minimally Invasive Restorations: a Case Report
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Abstract
Introduction: Bruxism is an oral condition associated with numerous clinical problems. It is defined as "an oral habit consisting of rhythmic or spasmodic grinding or clenching of the teeth during non-masticatory movements, which can cause occlusal trauma". Objectives: To describe the follow-up of a patient with awake and sleep bruxism, with generalised loss of dental substance. Case presentation: Generalised loss of tooth substance associated with bruxism was diagnosed, as well as decreased vertical dimension of occlusion. The treatment was divided into 4 phases. First phase: Diagnostic models, radiographs and photographs were taken. Second phase: The wax-up was evaluated by means of a diagnostic mock-up, observing the facial harmony and patient acceptance. Third phase: The pieces were prepared, the final impression was taken, and the provisional restorations were placed, which were kept in the mouth for 2 weeks to verify the patient's adaptation. Fourth phase: The partial restorations were cemented, and an occlusal splint was placed. The patient had a correct adaptation to the new vertical dimension of occlusion, the aesthetic, biological and functional objectives were met, and the parafunction was treated. Conclusions: Minimally invasive restorations prove to be a comfortable, quick and painless option that meets aesthetic, biological and functional requirements.
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