Transitional Bonding with Kois Deprogrammer: A Conservative Treatment Approach

Restoring a worn dentition presents challenges for the restorative dentist, requiring decisions on reconstructing lost tooth structure, addressing underlying risk factors, and meeting treatment goals while adhering to the principles of minimal dentistry. A systematic approach, considering periodontal, biomechanical, functional, and dentofacial risks, is essential before proposing treatment. In this case, esthetic concerns were successfully addressed using minimal to no-preparation techniques, including the placement of transitional bonding aided by a Kois deprogrammer, enabling the fulfillment of both functional and esthetic requirements.

The full diagnosis, the options on the table, and the reasoning behind the final plan — walked through start to finish.