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What if the future of treating tooth wear is not full-mouth ceramic rehabilitation? In this episode of Digital Dentist Digest, Dr. Melissa Seibert sits down with internationally recognized researcher and clinician Dr. Didier Dietschi for a thought-provoking conversation about minimally invasive dentistry, adhesive restorations, and the long-term management of tooth wear patients.
Dr. Dietschi, senior lecturer at the University of Geneva and a globally respected authority in adhesive and aesthetic dentistry, challenges the increasingly common "28-ceramic restoration" philosophy that has become prevalent in modern restorative dentistry. Instead, he advocates for a more individualized, interceptive, and biologically conservative approach to treatment planning.
Throughout the episode, Dr. Dietschi explains why dentists must focus on identifying the underlying etiology of tooth wear—including attrition, erosion, bruxism, clenching, occlusal anatomy, and parafunctional habits—before jumping to irreversible treatment. He discusses the long-term risks associated with aggressive full-mouth rehabilitation, particularly in younger patients, and why delaying invasive treatment is often the most ethical and predictable strategy.
The conversation also explores the advantages and limitations of composite restorations versus ceramics, how risk factors like heavy bruxism and poor compliance impact restorative longevity, and why prevention and patient education remain central to successful outcomes. Dr. Dietschi shares his clinical workflow for evaluating wear patterns, assessing biomechanical risk, implementing interceptive protocols, and improving patient compliance with nightguards and long-term maintenance.
This episode is packed with practical insight for general dentists, restorative dentists, and clinicians who want to improve treatment planning, preserve tooth structure, and think more critically about comprehensive rehabilitation cases. Whether you regularly manage wear patients or are trying to become more conservative and evidence-based in your restorative philosophy, this conversation offers a refreshing and clinically grounded perspective on modern dentistry.