Clinicians are generally not very keen to start treating patients affected by parafunctional habits (e.g bruxism), since they are afraid of the mechanical failure of the restorations delivered. A common attitude is to wait for more damage to occur, to be then obliged to intervene. However, this late intervention is responsible for a further degradation of the original dentition, and a more complicated and expensive therapy. Generally subtractive techniques are then selected and healthy tooth structure removed, leading to further weakening of the dentition. Nowadays, however, these conventional rehabilitations (based on crowns) are very rarely accepted by patients, not only for their biological loss, but also for their important cost.
If dentists are not prepared to treat parafunctional patients, and patients are reluctant to restore their teeth with subtractive techniques, questions on the time of intervention should be raised.
ADDITIVE dentistry can be the alternative to propose to this population of patients, based on an early intervention with the maximum preservation of their tooth structure. In addition this approach allows a test drive to stabilise patients and to see how they react to the new restored dentition.
- Discuss why dentists cannot reconstruct all the different mouths following the same standardised ideas.
- Place attention on the importance of function (#youcantskipfunction).