Full-Mouth Rehabilitation of a Patient with Severely Worn Dentition and Uneven Occlusal Plane: A Clinical Report

2011 ◽  
Vol 21 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Elnaz Moslehifard ◽  
Sakineh Nikzad ◽  
Farideh Geraminpanah ◽  
Farhang Mahboub
Author(s):  
Bipin Yeshwantrao Muley ◽  
Arun N Khalikar ◽  
Sameera Rafique Shaikh ◽  
Mohana M Tagore ◽  
Sattyam V Wankhade

ABSTRACT Esthetic and functional rehabilitation of severely worn dentition presents a significant challenge to the restorative dentist. The prerequisites in restoring the worn dentition are to understand the determinants of the occlusal vertical dimension and the effects of its alteration on the temporomandibular joint, muscle comfort, bite force, speech and long-term occlusal stability. This clinical report describes a sequential treatment procedure of full mouth rehabilitation of a patient with severe attrition and cervical abrasion of teeth with metal-ceramic restorations and implant supported fixed dental prosthesis after establishing a functional and esthetic vertical dimension and occlusal plane. How to cite this article Muley BY, Khalikar AN, Shaikh SR, Tagore MM, Patil PG, Wankhade SV. Full Mouth Rehabilitation of a Patient with Severely Worn Dentition and Reduced Occlusal Vertical Dimension: A Clinical Report. Int J Prosthodont Restor Dent 2012;2(2):72-76.


Author(s):  
Tapas Gupta ◽  
Ardhendu Banerjee ◽  
Saurav Banerjee ◽  
Nabarun Chakraborty ◽  
Rajwinder Singh

ABSTRACT Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function and esthetic deformity. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This clinical report describes the use of Hobo Twin- stage procedure for rehabilitation of a patient with severe tooth wear, resulting in reduced VDO.


2014 ◽  
Vol 40 (5) ◽  
pp. 593-600 ◽  
Author(s):  
Sompop Bencharit ◽  
Michael B. Border ◽  
C. Russell Mack ◽  
Warren C. Byrd ◽  
John T. Wright

Dentinogenesis imperfecta (DI) is a genetic disorder affecting the structural integrity of the dentin that can result in weakened dentin. The affected teeth, especially posterior teeth, often need to be extracted due to severe wear or fracture. This frequently yields a loss of posterior occlusion and occlusal vertical dimension. Besides wear and fracture, anterior teeth often have an unesthetic appearance because of discoloration. Current treatments of choice, including composite bonding restorations and, more recently, all-ceramic restorations, are typically suggested to preserve the remaining teeth and tooth structure. However, there are a limited number of studies on dental implants in patients with DI. The effectiveness of dentin bonding and dental implants in patients with DI is not known. This clinical report describes a 32-year-old Asian woman with DI who underwent full-mouth rehabilitation. The posterior occlusion, mostly in the molar areas, was restored with dental implants and ceramometal restorations. The anterior teeth and premolars were restored with bonded lithium disilicate glass-ceramic pressed veneers and crowns made with computer-aided design/computer-aided manufacturing. This case demonstrates that restoring functional occlusion and esthetics for a patient with DI can be completed successfully using contemporary implant therapy and adhesive dentistry.


2016 ◽  
Vol 32 (3) ◽  
pp. 255-262
Author(s):  
Hyun-Sun Kang ◽  
Cheol-Won Lee ◽  
Won-Sup Lee ◽  
Su-Young Lee

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