The development and reliability of ad- hesive resin composite systems have offered clinicians a further option for the management of tooth-surface loss. Patients with minimum, moderate, and severe hard tissue wear can be treated based on the application of minimally in- vasive adhesive composite restorations for posterior and anterior worn dentition. This article presents the “index tech- nique”, a new and very conservative ap- proach to the management of worn den- tition. The technique allows for a purely additive treatment without sacrificing healthy hard tooth tissue. It follows the principles of bioeconomics (maximum conservation of healthy tissue) and the reinforcing of residual dental structure. Depending on the severity of enamel
and dentin wear, the number of caries, and the size of existing restorations, dif- ferent treatment options can be applied to each tooth: direct and indirect partial restorations, or full crowns. It is essential to diagnose and treat tooth-surface loss in order to properly restore biomechan- ics, function, and esthetics by means of adhesive restorations. This article proposes that the index technique is a fast and conservative approach for the planning and management of a full- mouth adhesive treatment in all cases of worn dentition. The technique is based on stamping composite directly on the tooth surface by means of a transpar- ent index created from the full-mouth wax-up following an initially planned increase in occlusal vertical dimension (OVD).
