Tooth wear

Physiological Pathological

Localised
Generalised
(Dahl Possible)

Anterior Tooth Wear

Posterior Tooth
Wear

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 History

Examination

Special
Investigations

Diagnosis

Tooth by Tooth

Treatment Plan

Veneers

Additive Reduction

Direct Composite Direct Composite

Indirect Indirect
Composite Composite

Indirect Porcelain Indirect Porcelain

© Smile Dental Academy 2023
 History

Examination

Special Investigations

Diagnosis
Caries – Periodontal – Tooth Wear – Oral Cancer

Tooth by Tooth –
Periodontal Restorative Endo (PRE Check)

Prognosis
Good - Guarded - Hopeless

Risk Assessment (High - Medium - Low)

Caries – Perio – Oral Cancer – Tooth Surface Loss

Treatment Plan
Urgent - Stabilise – Definitive - Maintenance

© Smile Dental Academy 2023

 Smile Design
Smile Cloud

Functional Wax Up
Impressions – CR Record - Facebow

Periodontal Surgery – Crown

Lengthen/ Gingivectomy/
Gingival Graft

Mock Try In

Preparation Lab

Immediate Dentine Sealing

Impressions/ Scan

Temporize

Fit appointment

© Smile Dental Academy 2023

 Tooth

PRE Check
Perio – Restorative - Endo

3mm supraginival dentine 70%

2mm thickness
Intact pulp chamber

Restorable Unrestorable

Cuspal Coverage
2mm thickness
4mm height

Direct Indirect Bridge

Margin location
Enamel
Bonding
Aesthetics

Amalgam Onlay Crown Denture

GIC Adhesive Implant

Margin location
Bulbosity of tooth
Enamel
Bonding

Composite Mechanical Nothing

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 Materials

Direct Indirect

Porcelain Fused
Composite Metal Ceramic Metal Composite Acrylic

Amalgam Precious Non Precous High Strength

Glass Ionomer
Cement Gold Nickle Chrome Low Strength

Cobalt Chrome

Stainless Steel

© Smile Dental Academy 2023