Anterior aesthetics without dysfunction: a case report. Part 2: the prosthodontic conversion

Marketing cosmetic dentistry is financially fashionable. Anterior aesthetic reconstructions are an art form showcasing the dental technician's skill. There is a perceived concern that anterior reconstructions that do not consider the functional features of the mutually protected occlusion may, in susceptible patients, lead to dysfunction with its possible consequences. Part 1 described a case in which severe anterior tooth wear was restored using compomers for the palatal surfaces, and composites anteriorly to provide acceptable aesthetics. The compomers were used so the patient could relatively easily fashion this ‘softer’ material during parafunction. This provided a pattern of anterior guidance within the patient's ability to adapt. Once adequate time was allowed to ensure the guidance was not dysfunctional, it was copied and replicated onto an incisal guidance table for future use. This article deals with the conversion of the guidance to fixed prosthodontic work. CPD/Clinical Relevance: Transfer of anterior guidance; telescopic crowns and planning for failure.