scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Developmental Anomalies ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

scholarly journals Occlusal Rehabilitation of Severely Mutilated Dentition

2015 ◽  
Vol 5 (1) ◽  
pp. 48-52
Author(s):  
Tulika S Khanna ◽  
Sandeep Vivek Gurav
Keyword(s):  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Masticatory Muscle ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Careful Treatment ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Mutilated Dentition ◽  
Crown Lengthening

ABSTRACT Severe caries, attrition, abrasion, erosions of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the occlusal vertical dimension within physiologic limits. Unmethodical alteration of vertical dimension may lead to temporomandibular joint (TMJ) and masticatory muscle problems. Careful treatment planning and stable occlusion are key point of successful treatment. This case report describes the methodical multidisciplinary approach used to treat severely mutilated dentition. How to cite this article Gurav SV, Ram SM, Khanna TS. Occlusal Rehabilitation of Severely Mutilated Dentition. J Contemp Dent 2015;5(1):48-52.

scholarly journals Rehabilitation of a Severely Worn Dentition with Partial Lithium-disilicate Glass Ceramic Restorations: A Case Report

2021 ◽  
Author(s):  
Ece İrem Oğuz ◽  
Semih Berksun
Keyword(s):  
Case Report ◽  
Glass Ceramic ◽  
Treatment Options ◽  
Lithium Disilicate ◽  
Vertical Dimension ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Occlusal Vertical Dimension ◽  
Ceramic Restorations ◽  
Laminate Veneers

Rehabilitation of worn dentition is a challenging task because several predisposing factors may be included in the pathogenesis. The treatment options and process should be carefully considered based on the clinical condition and patients’ requirements. This case report represents the esthetic rehabilitation of a 68-year-old patient who exhibited severely worn teeth caused by attrition and erosion. After clinical evaluation, 3 mm increase in occlusal vertical dimension was planned with partial lithium-disilicate ceramic restorations as laminate veneers for anterior teeth and vonlays (onlays with veneer extentions) for posterior teeth in maxilla. The adaptation of the patient to the increased occlusal vertical dimension was tested for 1 month by provisional direct composite restorations. As the patient did not show any discomfort, definitive restorations were completed. The patient was satisfied with the esthetics and functionality of her new dentition.

scholarly journals Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Satheesh B. Haralur ◽  
Omar Saeed Al-Shahrani
Keyword(s):  
Case Report ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorder ◽  
Psychological Trauma ◽  
Prosthesis Design ◽  
Mandibular Movement ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance

The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.

scholarly journals Clinical Considerations while increasing Occlusal Vertical Dimension

2017 ◽  
Vol 7 (3) ◽  
pp. 103-107
Author(s):  
Rahul S Kulkarni ◽  
Ravindra S Pawar ◽  
Sandeep K Pimpale
Keyword(s):  
Case Report ◽  
Vertical Dimension ◽  
Definitive Treatment ◽  
Posterior Teeth ◽  
Tooth Structure ◽  
Stomatognathic System ◽  
Facial Height ◽  
Facial Esthetics ◽  
Occlusal Vertical Dimension ◽  
Clinical Considerations

ABSTRACT A decrease in occlusal vertical dimension (OVD) may result from tooth structure loss and extraction of posterior teeth, and it affects the esthetics, function, comfort, and lower facial height (LFH). Rehabilitation of patients with worn dentitions may require increase in OVD and interarch distance to create space for restorative materials, improve esthetics, and develop physiologic occlusion. It is usually advisable to assess esthetics, function, LFH, and response of the stomatognathic system to increased OVD by means of removable or fixed provisional appliances before definitive treatment. The following case report presents the multitude of factors considered in planning amount of OVD increase keeping in view its impact on LFH and facial esthetics, during rehabilitation of a patient with severely attrided dentition. How to cite this article Pawar RS, Kulkarni RS, Pimpale SK. Clinical Considerations while increasing Occlusal Vertical Dimension. Int J Prosthodont Restor Dent 2017;7(3):103-107.

scholarly journals Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Leandro Passos ◽  
Fernando Peixoto Soares ◽  
Mauricio Gallo
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Restorative Dentistry ◽  
Dental Bleaching ◽  
Anterior Teeth ◽  
Cad Cam ◽  
The Stability ◽  
Smile Esthetics ◽  
Crown Lengthening

This case report describes a successful multidisciplinary approach used to improve the smile esthetics of a patient presenting with excessive gingival display, asymmetric gingival margins, and small upper anterior teeth and lower anterior teeth. The treatment combined esthetic crown lengthening, dental bleaching, and restorative dentistry using CAD/CAM veneer. The 6-month follow-up examination confirmed the stability of the modification and absence of adverse effects.

Management of Localized Anterior Tooth Wear Using a Modified Sandwich Technique and the Dahl Concept: A Case Report

2022 ◽  
Author(s):  
TW Lim ◽  
J Roffie
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Anterior Tooth ◽  
Sandwich Technique ◽  
Composite Restorations ◽  
Occlusal Vertical Dimension

SUMMARY This case report illustrates a minimally invasive segmental rehabilitation of localized anterior tooth wear using a modification of the sandwich technique, a combination of indirect palatal composite veneers and direct labial composite restorations, at an increased occlusal vertical dimension (the Dahl concept).

scholarly journals Aesthetic rehabilitation in a patient with skeletal mandibular deficiency and open bite: journey from splinted metalloceramic prosthesis to all-ceramic crowns

2020 ◽  
pp. 1-14
Author(s):  
Rizwan Nazeer ◽  
Shizrah Jamal ◽  
Farhan Raza Khan
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Open Bite ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Abutment Teeth ◽  
Ceramic Crowns ◽  
Crown Lengthening ◽  
Periodontal Healing ◽  
Endodontic Retreatment

Abstract This case report is of a 31-year-old female who presented with splinted and faulty metalloceramic prosthesis on maxillary anterior teeth, which was responsible for localised periodontal disease and poor aesthetics. At multiple sites the ceramic had chipped off and the prosthesis colour did not match with the adjacent healthy teeth. A multidisciplinary approach of endodontics, periodontics and prosthodontics was employed for this case. The treatment plan consisted of removing the faulty prosthesis, endodontic retreatment of inadequately root-treated teeth and endodontics in the other coronally prepared abutment teeth. Crown lengthening surgery was performed for the correction of periodontal pockets and high smile line and maintenance of an adequate biological width. After periodontal healing, all-ceramic individual crowns were placed on the maxillary anterior teeth along with a three-unit all-ceramic bridge for the replacement of the left upper maxillary first premolar. Continuous...  

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