Rehabilitating patients who exhibit severe tooth surface loss is challenging. Conventional treatment approaches may require adjunctive procedures of surgical crown lengthening, elective endodontic therapy, placement of posts and cores and reduction of additional tooth to retain full coverage crowns by means of mechanical résistance and retention form. Contemporary treatment approaches to rehabilitate severe tooth surface loss provide opportunity to conserve tooth structure and reduce adjunctive procedures by using advanced adhesive techniques to retain bonded all-ceramic restoration. 

This lecture will highlight the use of contemporary treatment options for patients exhibiting severe tooth surface loss. These contemporary materials and methods allow the clinician to preserve remaining healthy tooth structure, maximize the adhesion to enamel and dentin and rebuild the tooth with materials that mimic that of the lost tooth structure. These approaches can obviate the need for mechanical resistance and retention form, thereby reducing adjunctive procedures and minimizing the removal of additional tooth structure.

Upon completion of this workshop, attendees should be able to:

• Understand the use of defect-oriented preparation design to support partial coverage restorations.

• Understand advanced adhesive techniques required to retain non-retentive, partial coverage restorations

Dr Orta is an Assistant Professor at the University of Maryland School of Dentistry. Prior to academia, Dr Orta practiced in Washington DC with a focus on minimally invasive adhesive dentistry. Dr Orta is Board Certified with The American Board of Prosthodontics and Fellow of the American College of Prosthodontists. She is the past Editor-in-Chief of the American College of Prosthodontist Messenger. Dr Orta lectures nationally and internationally on the topic of advanced adhesive and biomimetic dentistry and is a published author on these topics.