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Guy's, King's and St Thomas' Dental Institute and St George's Hospital, London, UK.
The first part of this paper discusses the clinical problems associated with providing predictable restorative dental care for parafunctional patients. The identification of patients with this problem is important, as is patient understanding and the optimization of preventive approaches, all of which are considered. In the second part, restorative strategies will be presented. Clinical Relevance: Parafunctional patients need to understand the difficulties associated with managing their problem. The preservation of tooth tissue is of paramount importance to ensure long-term success.
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