One of the most difficult and mismanaged of all dental treatment results in the esthetic reconstruction of complex wear cases. Many mechanical factors must be respected for a restoration to survive the rigors of chewing, clenching and grinding. Occasionally this can be managed with proper understanding of jaw mechanics and restored directly, but often other disciplines are required to improve the mechanical situation before treatment.
When the soft tissues (gums) are excessive or deficient or when emergence of missing teeth
require modification of tissue prior to restoration a minor surgical procedure to sculpt or graft can greatly enhance the overall result.