scholarly journals Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Somayeh Zeighami ◽  
Hakimeh Siadat ◽  
Sakineh Nikzad
Keyword(s):  
Tooth Wear ◽  
Vertical Dimension ◽  
Treatment Modalities ◽  
Clinical Report ◽  
Centric Relation ◽  
Short Implants ◽  
Anterior Guidance ◽  
Full Mouth Rehabilitation ◽  
Diagnostic Work ◽  
Ceramic Restorations

Tooth wear is attributed to several factors many of which often remain unidentified. Management of tooth wear is challenging in preventive and restorative dentistry. Correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records are critical for successful treatment. In order to evaluate different treatment modalities and select the treatment of choice some information can be obtained from study casts and diagnostic wax-up. In order to achieve a predictable and desirable result, a systematic approach may be helpful. This paper describes the full mouth rehabilitation of a 36-year-old bruxer with severely worn dentition and other dental problems such as unfavorable restorations. A diagnostic work-up was performed and provisional restorations were made; then, they were clinically evaluated and adjusted based on the criteria dictating esthetics, phonetics, and vertical dimension. After endodontic therapy, clinical crown lengthening was performed. Two short implants were inserted in the posterior mandible. Custom-cast dowel cores and metal-ceramic restorations were fabricated and a full occlusal splint was used to protect the restorations. We ensured stable contacts on all teeth with equal intensity in centric relation and anterior guidance in accord with functional jaw movements.

scholarly journals Prosthodontic Rehabilitation of the Patient with Severely Worn Dentition: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Mahnaz Hatami ◽  
Mahmoud Sabouhi ◽  
Siamak Samanipoor ◽  
Hamid Badrian
Keyword(s):  
Tooth Wear ◽  
Missing Teeth ◽  
Jaw Movements ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Metal Ceramic ◽  
Anterior Guidance ◽  
Full Mouth Rehabilitation ◽  
Points Of View ◽  
Ceramic Restorations

The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. This paper describes the full mouth rehabilitation of a 63-year-old bruxer man with a severely worn dentition and other dental problems including unsuitable restorations and several missing teeth. The treatment entailed using cast posts and cores, metal-ceramic restorations, and a removable partial denture. As with the treatment procedure of such cases, equal-intensity centric occlusal contacts on all teeth and an anterior guidance in harmony with functional jaw movements were especially taken into account.

scholarly journals Management of Tooth Wear: An Interdisciplinary Approach

2016 ◽  
Vol 5 (2) ◽  
pp. 139-145
Author(s):  
Tsz M Leung ◽  
Michael G Botelho ◽  
Yanqi Yang ◽  
Edward HT Ho
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Interdisciplinary Approach ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Clinical Report ◽  
Dental Restorations ◽  
Full Mouth Rehabilitation ◽  
And Function ◽  
Functional Solution

ABSTRACT Aims This case report aims to describe a conservative interdisciplinary approach to restore generalized tooth wear complicated with malalignment of teeth. Introduction Tooth wear is the surface loss of dental hard tissue, i.e., usually multifactorial in origin, excluding other than caries, trauma, or developmental disorder. Severe tooth wear impact the appearance, comfort, function, or longevity of the tooth. Prosthodontic management of patients with tooth wear has been well documented, although prosthodontic treatment is designed to correct minor malocclusion, patients with moderate-to-severe malocclusion accompanied by generalized tooth wear may require preprosthetic orthodontic intervention. Case report This case report describes a 47-year-old male patient with generalized tooth wear complicated with lack of interocclusal space and malalignment of teeth. Preventive measures were carried out to address the etiological factors of tooth wear. After orthodontic treatment, definitive restoration was placed in reorganized occlusion at an increased vertical dimension, which restored esthetic and function. Conclusion In this clinical report, generalized tooth wear with insufficient space for restoration, complicated by malalignment of teeth, was managed by way of an interdisciplinary approach which allowed a conservative full-mouth rehabilitation. After orthodontic treatment, a reorganized restorative approach was undertaken at an increased vertical dimension, providing an esthetic and functional solution. An occlusal night guard was provided to protect the dental restorations. Clinical Significance Interdisciplinary approach allows a conservative management for patient with tooth wear complicated by malalignment of teeth. How to cite this article Leung TM, Botelho MG, Yang Y, Ho EHT. Management of Tooth Wear: An Interdisciplinary Approach. Int J Experiment Dent Sci 2016;5(2):139-145.

scholarly journals Full Mouth Rehabilitation of a Patient with Severely Worn Dentition and Reduced Occlusal Vertical Dimension: A Clinical Report

2012 ◽  
Vol 2 (2) ◽  
pp. 72-76
Author(s):  
Bipin Yeshwantrao Muley ◽  
Arun N Khalikar ◽  
Sameera Rafique Shaikh ◽  
Mohana M Tagore ◽  
Sattyam V Wankhade
Keyword(s):  
Vertical Dimension ◽  
Occlusal Plane ◽  
Clinical Report ◽  
Functional Rehabilitation ◽  
Fixed Dental Prosthesis ◽  
Metal Ceramic ◽  
Full Mouth Rehabilitation ◽  
Occlusal Vertical Dimension ◽  
Ceramic Restorations

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.

scholarly journals Full-mouth Rehabilitation of a Patient with Severe Attrition using Hobo Twin-Stage Procedure

2011 ◽  
Vol 1 (3) ◽  
pp. 177-181
Author(s):  
Tapas Gupta ◽  
Ardhendu Banerjee ◽  
Saurav Banerjee ◽  
Nabarun Chakraborty ◽  
Rajwinder Singh
Keyword(s):  
Tooth Wear ◽  
Occlusal Plane ◽  
Clinical Report ◽  
Posterior Teeth ◽  
Severe Wear ◽  
Anterior Teeth ◽  
Occlusal Wear ◽  
Anterior Guidance ◽  
Full Mouth Rehabilitation ◽  
Occlusal Disharmony

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.

scholarly journals Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

2016 ◽  
Vol 54 (3) ◽  
pp. 306
Author(s):  
Tae Su Kim ◽  
Jae Hyun Lee ◽  
Chul Won Lee ◽  
Won Sup Lee ◽  
Su Young Lee
Keyword(s):  
Tooth Wear ◽  
All Ceramic ◽  
Full Mouth Rehabilitation ◽  
Ceramic Restorations

scholarly journals Implant-supported fixed hybrid acrylic complete dentures opposing fully restored mandibular metal ceramic restorations

2020 ◽  
Vol 13 (2) ◽  
pp. e233913
Author(s):  
Mohammed A Alfarsi ◽  
Sharaz Shaik
Keyword(s):  
Effective Treatment ◽  
Treatment Plan ◽  
Cost Effective ◽  
Vertical Dimension ◽  
Complete Dentures ◽  
Cost Effective Treatment ◽  
Hygiene Measures ◽  
Metal Ceramic ◽  
Full Mouth Rehabilitation ◽  
Ceramic Restorations

This report presents a full-mouth rehabilitation case. A patient came with a failing dentition in maxilla, and after the treatment, the patient had a shortened full-arch, implant-supported, screw-retained hybrid acrylic complete denture in the maxilla and full-arch metal ceramic restorations in the mandible. The report describes the steps involved in the prosthodontic rehabilitation; a cost-effective treatment plan, the restoration of vertical dimension, an immediate denture, an implant-level impression, a verified-master cast, the fabrication of definitive prosthesis, the occlusal scheme and multiple follow-ups in 6 months. We discussed the merits/demerits of screw-retained prosthesis, impression techniques and various types of fixed complete dentures. We learnt the difficulty in hygiene measures and dissatisfaction of the patient with the hygienic gaps under the acrylic fixed dentures.

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