{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T09:17:46Z","timestamp":1792833466335,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,10,27]],"date-time":"2018-10-27T00:00:00Z","timestamp":1540598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To introduce a novel approach for full\u2010mouth rehabilitation of severely worn dentition using polymer\u2010infiltrated ceramic network (PICN) computer\u2010aided\u2010design and manufacturing (CAD\u2010CAM) restorations, without tooth tissue preparation and provisional phase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical considerations<\/jats:title><jats:p>Three patients with generalized tooth wear, suffering from dental pain, masticatory dysfunction, bruxism and neck and back pain, were selected and treated in collaboration with physiotherapists. Occlusal analyses were performed and full\u2010mouth diagnostic wax\u2010ups were designed on the basis of estimated tissue loss. Deficient direct restorations were replaced and low\u2010thickness PICN (Vita Enamic) restorations (up to 0.2 mm) were CAD\u2010CAM designed from wax\u2010ups, milled, tried\u2010in and then bonded within two consecutive days. To mask palatal veneers, either buccal direct composites or glass\u2010ceramic veneers were later performed. An occlusal splint was realized. Clinical results were shown to be successful after a follow\u2010up of 22, 18, and 13\u2009months, respectively. The absence of provisional phase did not engender any inconveniences. Patient reported outcomes were very positive, showing a reduction in neck and back pain and a well\u2010being increase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The proposed protocol is particularly minimally invasive and straightforward compared to classical techniques. PICNs exhibit several advantages compared to other materials. Preliminary results of this multidisciplinary approach are promising but deserve further clinical research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>The development of CAD\u2010CAM technologies offers the possibility of improving treatment of severe worn dentition, reducing chairtime and need of tooth tissue preparation, and introducing a new class of composite materials (hybrid ceramics), which exhibit interesting properties for this indication. The influence of the proposed multidisciplinary approach, particularly the collaboration with physiotherapists, needs to be further explored with respect to treatment of associated symptoms, such as masticatory muscles hypertrophy and neck pain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12432","type":"journal-article","created":{"date-parts":[[2018,10,27]],"date-time":"2018-10-27T11:45:33Z","timestamp":1540640733000},"page":"141-149","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["The One step\u2010No prep technique: A straightforward and minimally invasive approach for full\u2010mouth rehabilitation of worn dentition using polymer\u2010infiltrated ceramic network (PICN) CAD\u2010CAM prostheses"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8135-1587","authenticated-orcid":false,"given":"Am\u00e9lie Karine Jacques","family":"Mainjot","sequence":"first","affiliation":[{"name":"Dental Biomaterials Research Unit (d\u2010BRU) and Department of Fixed Prosthodontics University and University Hospital Center (CHU) of Li\u00e9ge  Li\u00e8ge Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.02.004"},{"issue":"3","key":"e_1_2_6_3_1","first-page":"197","article-title":"Dental erosion: prevalence and severity among 16\u2010year\u2010old adolescents in Troms, Norway","volume":"17","author":"Mulic A","year":"2016","journal-title":"Eur J Paediatr Dent"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.07.003"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000447020"},{"issue":"2","key":"e_1_2_6_6_1","first-page":"111","article-title":"Severe tooth Wear: European consensus statement on management guidelines","volume":"19","author":"Loomans B","year":"2017","journal-title":"J Adhes Dent"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.1517"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.03.003"},{"issue":"4","key":"e_1_2_6_9_1","first-page":"506","article-title":"Adhesively restored anterior maxillary dentitions affected by severe erosion: up to 6\u2010year results of a prospective clinical study","volume":"8","author":"Vailati F","year":"2013","journal-title":"Eur J Esthet Dent"},{"issue":"1","key":"e_1_2_6_10_1","first-page":"30","article-title":"Full\u2010mouth adhesive rehabilitation of a severely eroded dentition: the three\u2010step technique. 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