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What does truly conservative, evidence-based dentistry look like when treating tooth wear patients? In Part 2 of this conversation on Digital Dentist Digest, Dr. Melissa Seibert continues her discussion with internationally respected adhesive dentistry expert Dr. Didier Dietschi, diving deeper into the clinical execution, biomechanics, and decision-making behind minimally invasive restorative dentistry.

Dr. Dietschi, senior lecturer at the University of Geneva and internationally recognized authority in adhesive and aesthetic dentistry, explains how dentists can move beyond "copy-and-paste" full mouth rehabilitation and instead develop individualized treatment plans based on patient age, risk factors, compliance, biomechanics, and long-term prognosis.

In this episode, Dr. Dietschi discusses how to evaluate tooth wear severity, determine when restorative intervention is actually necessary, and decide between composite, ceramic, or hybrid treatment approaches. He shares his philosophy on preserving tooth structure, avoiding unnecessary invasiveness, and understanding the biological cost of aggressive dentistry—especially in younger patients with bruxism, clenching, erosion, and parafunctional habits.

The conversation also explores the real-world challenges dentists face when managing wear patients, including nightguard compliance, restorative maintenance, patient communication, and the emotional burden clinicians often feel when restorations chip or fail. Dr. Dietschi offers a refreshingly honest perspective on responsibility, patient behavior, and why long-term success in restorative dentistry depends on far more than simply choosing a stronger material.

Listeners will also gain valuable insight into adhesive dentistry, vertical dimension management, composite layering and molding techniques, occlusal risk assessment, and the importance of tailoring restorative materials to specific clinical situations rather than relying on a one-material-fits-all philosophy.

This episode is ideal for general dentists, restorative dentists, and clinicians who want to think more critically about comprehensive treatment planning, minimally invasive dentistry, and long-term patient care. If you are interested in biomaterials, tooth wear management, occlusion, and evidence-based restorative dentistry, this conversation provides both practical clinical guidance and a broader philosophical framework for modern practice.