The Generated Restorative Space Concept: A Digitally Guided Preparation Protocol for Restoring the Vertical Dimension of Occlusion in Patients With Tooth Wear.

OBJECTIVE: Treating patients with worn dentition is complex and requires comprehensive consideration of function, esthetics, and tissue preservation. An important aspect of contemporary dentistry is to be conservative and have proper protocols to plan and treat these situations while protecting the remaining tooth structures. The purpose of this article is to present an organized and conservative digitally aided treatment protocol for patients with worn dentition, which takes into account pre-established parameters that allow increasing the occlusal vertical dimension following the GRS Concept-the Generated restorative space.

CLINICAL CONSIDERATIONS: This protocol emphasizes the need to assess each clinical scenario and plan prosthetic designs that increase predictability; it also establishes guidelines that promote minimal invasion, proper material selection, and an approach guided by the existing wear pattern, patient-specific factors, and biological preservation.

CLINICAL SIGNIFICANCE: Properly planned treatment and the use of digital technology will enable clinicians to be more conservative and retain the largest amount of the residual tooth structure in wear patients.

CONCLUSION: Treating patients with generalized worn dentition is a challenging task, and proper treatment planning and execution are needed. Digital assets such as the "cross-sectional view" in CAD software allow the clinician to analyze the generated restorative space, be more conservative, and support the long-term success and predictability of the restorations.