Acta Scientific Dental Sciences

Case Report Volume 10 Issue 4

Management of Generalized Tooth Wear by Increasing the Vertical Dimension of Occlusion Using Adhesive Occlusal Table Veneers: A Case Report

Ahmed S. Aljuaid*

Department of Restorative Dental Science, Faculty of Dentistry, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia

*Corresponding Author: Ahmed S. Aljuaid, Department of Restorative Dental Science, Faculty of Dentistry, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia.

Received: March 10, 2026; Published: March 30, 2026

Abstract

Generalized tooth wear may lead to a reduction in the vertical dimension of occlusion (VDO), potentially compromising masticatory function, occlusal stability, and facial esthetics. Rehabilitation of such cases often requires restoration of the lost vertical dimension while preserving as much remaining tooth structure as possible. Advances in adhesive restorative dentistry have enabled more conservative treatment strategies compared with conventional full-coverage reconstructions. This case report describes the management of a patient presenting with generalized tooth wear associated with decreased VDO using adhesive occlusal table veneers. Following comprehensive clinical and radiographic assessment, the proposed increase in VDO was initially evaluated with a removable occlusal splint and subsequently verified through a provisional phase to assess patient adaptation, phonetics, and comfort. After confirmation of neuromuscular tolerance to the new vertical dimension, definitive restorations were fabricated from lithium disilicate and adhesively bonded to restore posterior support and stabilize the occlusal scheme. The treatment resulted in restoration of functional occlusion, improved anterior tooth display, and preservation of tooth structure through a minimally invasive restorative approach. Adhesive occlusal table veneers may represent a predictable and conservative treatment option for the rehabilitation of patients with generalized tooth wear requiring an increase in vertical dimension of occlusion.

Keywords: Tooth Wear; Vertical Dimension of Occlusion; Occlusal Veneers; Adhesive Dentistry; Lithium Disilicate; Full-Mouth Rehabilitation

References

  1. Abduo Jaafar. "Safety of Increasing Vertical Dimension of Occlusion: A Systematic Review”. Quintessence International5 (2012): 369-380.
  2. Abduo Jaafar and Kenneth Lyons. "Clinical Considerations for Increasing Occlusal Vertical Dimension: A Review”. Australian Dental Journal1 (2012): 2-10.
  3. Dawson Peter E. “Evaluation, Diagnosis, and Treatment of Occlusal Problems”. 2nd, Mosby, (1989).
  4. Dawson Peter E. “Functional Occlusion: From TMJ to Smile Design”. Mosby (2007).
  5. Edelhoff Dieter and Jeffrey A Sorensen. "Tooth Structure Removal Associated with Various Preparation Designs for Anterior Teeth”. Journal of Prosthetic Dentistry5 (2002): 503-509.
  6. Edelhoff Dieter and Jeffrey A Sorensen. "Tooth Structure Removal Associated with Various Preparation Designs for Posterior Teeth”. International Journal of Periodontics and Restorative Dentistry3 (2002): 241-249.
  7. Fasbinder Dennis J., et al. "A Clinical Evaluation of Chairside Lithium Disilicate CAD/CAM Crowns: A Two-Year Report”. Journal of the American Dental Association2 (2010): 10S-14S.
  8. Guess Patrick C., et al. "Monolithic CAD/CAM Lithium Disilicate Versus Veneered Y-TZP Crowns: Comparison of Failure Modes and Reliability After Fatigue”. International Journal of Prosthodontics5 (2010): 434-442.
  9. Guess Patrick C., et al. "Influence of Preparation Design and Ceramic Thicknesses on Fracture Resistance and Failure Modes of Premolar Partial Coverage Restorations”. Journal of Prosthetic Dentistry4 (2013): 264-273.
  10. Johansson Anders, et al. "Rehabilitation of the Worn Dentition”. Journal of Oral Rehabilitation7 (2008): 548-566.
  11. Magne Pascal., et al. "Stress Distribution of Inlay-Anchored Adhesive Fixed Partial Dentures: A Finite Element Analysis of the Influence of Restorative Materials and Abutment Preparation Design”. Journal of Prosthetic Dentistry5 (2002): 516-527.
  12. Magne Pascal., et al. "In Vitro Fatigue Resistance of CAD/CAM Composite Resin and Ceramic Posterior Occlusal Veneers”. Journal of Prosthetic Dentistry3 (2010): 149-157. 
  13. Magne Pascal and Urs C Belser. “Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach”. Quintessence Publishing (2002).
  14. Turner Keith A and DM Missirlian. "Restoration of the Extremely Worn Dentition”. Journal of Prosthetic Dentistry4 (1984): 467-474.

Citation

Citation: Ahmed S. Aljuaid. “Management of Generalized Tooth Wear by Increasing the Vertical Dimension of Occlusion Using Adhesive Occlusal Table Veneers: A Case Report". Acta Scientific Dental Sciences 10.4 (2026): 13-19.

Copyright

Copyright: © 2026 Ahmed S. Aljuaid. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In





News and Events


  • Publication Certificate
    Authors will be provided with the Publication Certificate after their successful publication
  • Last Date for submission
    Authors are requested to submit manuscripts on/before April 13, 2026, for the upcoming issue of 2026.

Contact US









ff

© 2024 Acta Scientific, All rights reserved.