J Korean Acad Prosthodont.  2025 Apr;63(2):186-193. 10.4047/jkap.2025.63.2.186.

Minimally invasive restoration with orthodontics in a patient with anterior deep bite and tooth wear

• Nam JH
• Chang JS
• Pyo SW
• Kim S

• KMID: 2567737
• DOI: http://doi.org/10.4047/jkap.2025.63.2.186

Abstract

Tooth wear is a physiologic process, but when accelerated by specific factors, it is considered pathologic wear, leading various issues that require prosthodontic intervention. Full-mouth prosthetic rehabilitation is often considered to restore adequate vertical dimension and esthetics for patients with severely worn dentition. However, a minimally invasive prosthodontic approach through multidisciplinary collaboration may be feasible for patients with localized anterior or posterior wear. This clinical case addressed the treatment for excessive anterior deep bites and pathologic wear of the anterior teeth, leading to deteriorated esthetics and function. Orthodontic extrusion was employed in the posterior teeth to increase the vertical dimension of occlusion and secure adequate space for the anterior restorations. A minimally invasive treatment was possible by limiting the scope of treatment to the anterior region. As a result, function and esthetics were improved by restoring only the teeth with pathologic wear without removing healthy tooth structure.

Keyword

Deep bite; Minimally invasive; Multidisciplinary approach; Vertical dimension; Tooth wear