Treatment of a case of serious occlusal instability associated with TMDs through a modern mini-invasive approach

Int J Esthet Dent. Winter 2015;10(4):576-86.


Background: The latest trends in restorative dentistry are guided both by esthetic and mini-invasive procedures. New ceramic materials, such as lithium disilicate, allow the clinician to obtain invisible restorations with a minimum preparation thickness.

Summary: A young female patient presented at our practice with left temporomandibular closed locking and uncomfortable occlusal instability. After manual reduction, medical therapy, and reversible treatment with a stabilization splint, a mini-invasive lithium disilicate occlusal inferior posterior rehabilitation was conceived and performed. The esthetic integration of the onlay restorations was excellent, no fractures had occurred by the time of the 1-year follow-up, and the patient perceived the dental occlusion as comfortable.

Conclusion: We strongly believe that a careful approach to esthetics is mandatory nowadays, including in the case of posterior teeth. New ceramic materials and the latest adhesive techniques make it possible to resort to mini-invasive and esthetic approaches, even in cases of restorations that are difficult in terms of functionality.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bruxism / therapy
  • Centric Relation
  • Dental Bonding / methods
  • Dental Occlusion, Centric
  • Dental Porcelain / chemistry
  • Esthetics, Dental
  • Female
  • Follow-Up Studies
  • Humans
  • Inlays*
  • Jaw Relation Record / methods
  • Malocclusion, Angle Class II / therapy*
  • Occlusal Splints*
  • Open Bite / therapy
  • Temporomandibular Joint Disorders / drug therapy
  • Temporomandibular Joint Disorders / therapy*
  • Tooth Abrasion / therapy
  • Tooth Preparation / methods
  • Vertical Dimension


  • lithia disilicate
  • Dental Porcelain