Digitally Guided Minimally Invasive Aesthetic Rehabilitation For Dental Erosion

This case demonstrates a precise approach for intricate aesthetic rehabilitation in dental erosion. A 25-year-old patient presented with chemical erosion-induced maxillary anterior defects, disproportional width-length ratios, and discoloration. The integration of digital workflows and minimally invasive techniques addressed both functional and aesthetic challenges, emphasizing predictability in erosion management. A female patient exhibited unaesthetic maxillary anterior teeth and posterior dysfunction due to missing teeth (17, 36). Clinical findings included defects (teeth 13–23), cervical demineralization, aberrant width-length ratios, and posterior edentulism. Digital protocols included: 1) electronic facebow for mandibular movement analysis; 2) 3D scans determining crown lengthening requirements; 3) guided gingivectomy; 4) minimally invasive veneers . Posterior implants were placed to reestablish occlusion. At 3-month follow-up, restorations demonstrated optimum adaptation, improved ratios, and balanced occlusal forces. Key innovations: 1)Digital-biomechanical synergy-Virtual occlusion analysis optimized aesthetics while posterior implants redistributed loads, minimizing functional risks; 2)Staged multidisciplinary care-Sequential crown lengthening and implant therapy ensured biological stability; 3)Erosion-adapted protocols-Ultraconservative veneers preserved compromised structure. Critical considerations: BEWE scoring (moderate risk:12) directed dynamic monitoring, and maintained incisal guidance contact. It highlights the necessity of comprehensive digital planning in erosion rehabilitation. The staged integration of periodontal, prosthetic, and implant therapies achieved predictable outcomes through minimal invasiveness and biomechanical harmony. Digital procedures enabled precise control of aesthetic parameters while posterior implants reduced anterior stress, enhancing long-term stability. The protocol underscores the value of multidisciplinary collaboration and dynamic monitoring in managing complex erosion cases.