Journal of Prosthetic Dentistry

Simplified treatment of severe dental erosion with ultrathin CAD-CAM composite occlusal veneers and anterior bilaminar veneers


      Restorative treatment for patients with dental erosion requires an analysis of the degree of structural damage. Patients affected by moderate to severe dental erosion are particularly challenging because complex occlusal reconstruction will be needed. Ultrathin bonded occlusal veneers represent a conservative alternative to traditional onlays and complete coverage crowns for the treatment of severe erosion. This article describes a complete mouth rehabilitation with ultrathin computer-aided design and computer-aided manufacturing (CAD-CAM) composite resin occlusal veneers in a patient with a severely eroded dentition. In the maxillary anterior teeth, the bilaminar approach was chosen with lingual composite resin veneers and labial porcelain veneers. The main benefit of this approach is the possibility of using additive adhesive techniques, allowing only strategic reduction of sound dental structure or no preparation.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Ganss C.
        How valid are current diagnostic criteria for dental erosion?.
        Clin Oral Investig. 2008 Mar; 12: S41-S49
        • Bartlett D.W.
        The role of erosion in tooth wear: aetiology, prevention, and management.
        Int Dent J. 2005; 55: 277-284
        • Lussi A.
        • Hellwig E.
        • Ganss C.
        • Jaeggi T.
        Buonocore memorial lecture. Dental erosion.
        Oper Dent. 2009; 34: 251-262
        • Johnson A.C.
        • Versluis A.
        • Tantbirojn D.
        • Ahuja S.
        Fracture strength of CAD/CAM composite and composite-ceramic occlusal veneers.
        J Prosthodont Res. 2014; 58: 107-114
        • Schlichting L.H.
        • Maia H.P.
        • Baratieri L.N.
        • Magne P.
        Novel-design ultra-thin CAD/CAM composite resin and ceramic occlusal veneers for the treatment of severe dental erosion.
        J Prosthet Dent. 2011; 105: 217-226
        • Edelhoff D.
        • Sorensen J.A.
        Tooth structure removal associated with various preparation designs for posterior teeth.
        Int J Periodontics Restorative Dent. 2002; 22: 241-249
        • Edelhoff D.
        • Sorensen J.A.
        Tooth structure removal associated with various preparation designs for anterior teeth.
        J Prosthet Dent. 2002; 87: 503-509
      1. Magne P, Belser U, editors. Understanding the intact tooth and the biomimetic principle. In: Bonded porcelain restorations in the anterior dentition: a biomimetic approach. Chicago: Quintessence Publishing Co; 2002. p. 23-55.

        • Tinschert J.
        • Natt G.
        • Mautsch W.
        • Augthun M.
        • Spiekermann H.
        Fracture resistance of lithium disilicate-, alumina-, and zirconia based three-unit fixed partial dentures: a laboratory study.
        Int J Prosthodont. 2001; 14: 231-238
        • Beuer F.
        • Schweiger J.
        • Edelhoff D.
        Digital dentistry: an overview of recent developments for CAD/CAM generated restorations.
        Br Dent J. 2008; 204: 505-511
        • Leinfelder K.F.
        Ask the expert. Will ceramic restorations be challenged in the future?.
        J Am Dent Assoc. 2001; 132: 46-47
        • Manhart J.
        • Chen H.
        • Hamm G.
        • Hickel R.
        Buonocore memorial lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition.
        Oper Dent. 2004; 29: 481-508
        • Leinfelder K.F.
        Indirect posterior composite resins.
        Compend Contin Educ Dent. 2005; 26: 495-503
        • Spreafico R.C.
        • Krejci I.
        • Dietschi D.
        Clinical performance and marginal adaptation of class II direct and semidirect composite restorations over 3.5 years in vivo.
        J Dent. 2005; 33: 499-507
        • Magne P.
        • Douglas W.H.
        Porcelain veneers: dentin bonding optimization and biomimetic recovery of the crown.
        Int J Prosthodont. 1999; 12: 111-121
        • Dietschi D.
        • Monasevic M.
        • Krejci I.
        • Davidson C.
        Marginal and internal adaptation of class II restorations after immediate or delayed composite placement.
        J Dent. 2002; 30: 259-269
        • Magne P.
        Immediate dentin sealing: a fundamental procedure for indirect bonded restorations.
        J Esthet Restor Dent. 2005; 17: 144-154
        • Magne P.
        • Schlichting L.H.
        • Maia H.P.
        • Baratieri L.N.
        In vitro fatigue resistance of CAD/CAM composite resin and ceramic posterior occlusal veneers.
        J Prosthet Dent. 2010; 104: 149-157
        • Magne P.
        • Stanley K.
        • Schlichting L.H.
        Modeling of ultrathin occlusal veneers.
        Dent Mat. 2012; 28: 777-782
        • Vailati F.
        • Bruguera A.
        • Belser U.C.
        Minimally invasive treatment of initial dental erosion using pressed lithium disilicate glass-ceramic restorations: a case report.
        Quintessence Dent Technol. 2012; 35: 65-78
        • Duarte Jr., S.
        • Sartori N.
        • Cascione D.
        • Phark J.
        Ceramic-reinforced polymers: overview of CAD/CAM hybrid restorative materials.
        Quintessence Dent Technol. 2014; 37: 37-48
        • Bahillo J.
        • Jané L.
        • Bortolotto T.
        • Krejci I.
        • Roig M.
        Full-mouth composite rehabilitation of a mixed erosion and attrition patient: a case report with v-shaped veneers and ultra-thin CAD/CAM composite overlays.
        Quintessence Int. 2014; 45: 749-756
        • Eccles J.D.
        Dental erosion of nonindustrial origin. A clinical survey and classification.
        J Prosthet Dent. 1979; 42: 649-653
        • Magne P.
        • Magne M.
        • Belser U.C.
        Adhesive restorations, centric relation, and the Dahl principle: minimally invasive approaches to localized anterior tooth erosion.
        Eur J Esthet Dent. 2007; 2: 260-273
        • Vailati F.
        • Belser U.C.
        Palatal and facial veneers to treat severe dental erosion: A case report following the three-step technique and the sandwich approach.
        Eur J Esthet Dent. 2011; 6: 268-278
        • Tay F.R.
        • Pashley D.H.
        Resin bonding to cervical sclerotic dentin: a review.
        J Dent. 2004; 32: 173-196
        • Zimmerli B.
        • De Munck J.
        • Lussi A.
        • Lambrechts P.
        • Van Meerbeek B.
        Long-term bonding to eroded dentin requires superficial bur preparation.
        Clin Oral Investig. 2012; 16: 1451-1461
        • Magne P.
        • Belser U.C.
        Novel porcelain laminate preparation approach driven by a diagnostic mock-up.
        J Esthet Restor Dent. 2004; 16: 7-16
      2. Magne P, Belser U, editors. Try-in and adhesive luting procedures. In: Bonded porcelain restorations in the anterior dentition: a biomimetic approach. 1st ed. Chicago: Quintessence Publishing Co; 2002. p. 335-69.

        • Daronch M.
        • Rueggeberg F.A.
        • De Goes M.F.
        • Giudici R.
        Polymerization kinetics of pre-heated composite.
        J Dent Res. 2006; 85: 38-43