What question did this study set out to answer?

This article aims to evaluate various adhesive restoration techniques for severe anterior wear, focusing on their effectiveness and methods.

May 20, 2026

Bilaminate approaches and V-shaped and 360-degree veneers. Different adhesive restoration methods in the treatment of severe anterior wear: Part 2.

Key Points

This article aims to evaluate various adhesive restoration techniques for severe anterior wear, focusing on their effectiveness and methods.
Reviews three adhesive strategies: bilaminate approach, V-shaped veneers, and 360-degree peripheral veneers.
Highlights indications and methodology of each technique through scientific evidence and clinical illustrations.
Presents detailed insights building from a previous article on the bilaminate approach.
The bilaminate approach preserves tooth structure while offering functional restoration.
V-shaped veneers are discussed for specific aesthetic applications and minimally invasive cases.
360-degree veneers provide comprehensive coverage for severe defects, enhancing longevity.

Abstract

The introduction of adhesive techniques has shifted dental restoration toward highly conservative strategies, emphasizing preservation of natural tooth structure to maintain oral health and reduce future interventions. In managing dental wear, additive methods offer predictable outcomes while safeguarding the longevity of restored teeth. Direct restorations are suitable for minor to moderate lesions due to their reversibility and cost-effectiveness, whereas deeper or functionally and esthetically significant defects often require indirect solutions. Minimally invasive approaches, particularly ceramic veneers, prioritize enamel preservation and aim to minimize unnecessary tissue removal. For severe anterior wear, three adhesive strategies stand out: the bilaminate approach (palatal and vestibular veneers), V-shaped veneers, and 360-degree peripheral veneers. This two-part article reviews these techniques, clarifying their indications and methodology through scientific evidence and detailed clinical illustrations. The first part presented the bilaminate approach, exploring its benefits and detailed methodology (Int J Esthet Dent 2026;21:12-26). Understanding this foundational technique sets the stage for the more complex configurations of V-shaped and 360-degree veneers, which are discussed in this second part.

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