Adapted Three-step Restorative Technique: Recovering Dental Substrate Compromised by Complex Erosive Wear in a Young Patient

2020 ◽  
Vol 45 (5) ◽  
pp. 457b-466
Author(s):  
CA Villavicencio-Espinoza ◽  
MC Giacomini ◽  
MH Narimatsu ◽  
AC Magalhães ◽  
MT Atta ◽  
...  
Keyword(s):  
Young Patients ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Young Female ◽  
Dental Restoration ◽  
Medical Monitoring ◽  
Posterior Teeth ◽  
Wear Process ◽  
Anterior Teeth ◽  
Occlusal Vertical Dimension

Clinical Relevance This article presents the dental restoration of a young female patient complaining of erosive dental wear using a three-step restorative technique, an alternative approach with some novel adjustments. SUMMARY For successful tooth wear treatment, determining the etiological systemic and local factors is the main priority before deciding on effective and long-term preventive and/or therapeutic restorative approaches. In addition to professional intervention, achieving optimal outcomes requires patients to control their diet and/or gastric issues, thus minimizing the wear process. However, continuous wear constitutes the most challenging scenario, mainly when it affects young patients’ dentitions. This article describes the dental restoration of posterior teeth with reestablishment of occlusal vertical dimension before treating the anterior teeth, while educating the patient and providing medical monitoring. The three-step restorative technique seems to be properly applicable in cases of significant dental compromise due mainly to erosive wear and is based on direct procedures, which can assure a reliable and feasible approach.

Minimally Invasive Adhesive Rehabilitation for a Patient With Tooth Erosion: Seven-year Follow-up

2019 ◽  
Vol 44 (1) ◽  
pp. E45-E57
Author(s):  
NI Pavesi Pini ◽  
LM De Marchi ◽  
AL Ramos ◽  
RC Pascotto
Keyword(s):  
Composite Resin ◽  
Tooth Wear ◽  
Restorative Dentistry ◽  
Posterior Teeth ◽  
Main Complaint ◽  
Anterior Teeth ◽  
Prevention And Treatment ◽  
Orthodontic Device ◽  
Scanning Electron

SUMMARY Tooth wear is a multifactorial condition of growing concern. In clinical practice, it is often a challenge for prevention and treatment since many etiological factors may be involved. This case report describes an esthetic rehabilitation of a young patient presenting tooth wear due to erosion. The etiological factor of this case was the patient sucking on lemons, an acidic fruit. The main complaint of the patient was the appearance of short maxillary incisors. The treatment involved orthodontic and restorative dentistry techniques. First of all, an orthodontic device was used to increase the vertical dimension of occlusion and create an adequate space for the direct restorations. The posterior teeth were restored with two direct composite resin techniques; the anterior teeth were then restored using a balanced occlusion. The seven-year follow-up of the case is presented. Replicas of the restorations were made and visualized under scanning electron microscopy up to the 12-month evaluation. In the clinical follow-up at seven years, maintenance of the results and restorations can be clearly seen.

scholarly journals The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report

2009 ◽  
Vol 10 (6) ◽  
pp. 79-85
Author(s):  
Seema Gupta ◽  
Sandeep Kumar
Keyword(s):  
Case Report ◽  
Facial Asymmetry ◽  
Young Female ◽  
Careful Consideration ◽  
Amelogenesis Imperfecta ◽  
Successful Outcome ◽  
Functional Rehabilitation ◽  
Posterior Teeth ◽  
Posterior Crossbite ◽  
Anterior Teeth

Abstract Aim The purpose of this case report is to present the esthetic and functional rehabilitation of the teeth in a 20-year-old patient with amelogenesis imperfecta (AI), facial asymmetry due to functional mandibular shift, and unilateral posterior crossbite. Background AI is a group of hereditary defects of enamel unassociated with any other generalized defects. AI results in poor development or the complete absence of the enamel of the teeth caused by improper differentiation of ameloblasts. Case Description This report describes the diagnosis and treatment of a young female patient with AI and facial asymmetry using a combined orthodontic-prosthodontic approach. Initially, the posterior crossbite, mandibular shift, and facial asymmetry were treated orthodontically. Later, metal-ceramic crowns for posterior teeth and allceramic crowns for anterior teeth were fabricated for final restorations. Summary Coordinated orthodontic and prosthodontic treatment, with careful consideration of patient expectations and requests, were critical for a successful outcome and patient satisfaction. Clinical Significance The complexity of the management of patients with AI supports the suggestion that the dental profession should have appropriate methods for the rehabilitation of rare dental disorders. Citation Kumar S, Gupta S. The Restoration of Function and Esthetics of a Patient with Amelogenesis Imperfecta Using a Combination of Orthodontic and Prosthodontic Treatment: A Case Report. J Contemp Dent Pract [Internet]. 2009 Nov; 10(6):079-085. Available from: http://www. thejcdp.com/journal/view/volume10-issue6-kumar.

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.

Reabilitação total com porcelanas em paciente acometido por amelogênese imperfeita

2021 ◽  
Vol 10 (38) ◽  
pp. 21-27
Author(s):  
Weider de Oliveira Silva ◽  
Gabriela Barbosa de Sá ◽  
Tarcísio Pinto ◽  
Gil Montenegro ◽  
Ismael Lucas Pinto
Keyword(s):  
Tooth Enamel ◽  
Tooth Wear ◽  
Dental Tissue ◽  
Posterior Teeth ◽  
Developmental Abnormalities ◽  
Anterior Teeth ◽  
Complex Development ◽  
And Function ◽  
Clinical Problems

Amelogenesis imperfecta (AI) is a disorder of genetic origin, linked to the amelogenin gene, which presents developmental abnormalities in the quantity and quality of tooth enamel. The main clinical problems are the extensive loss of dental tissue, occlusal problems, impaired aesthetics, tooth sensitivity and gingival inflammation. This study described a clinical case and the approach in the treatment of a patient with AI, with gingival plastic surgery, porcelain crowns on the posterior teeth, porcelain veneers on the anterior teeth and application of botulinum toxin to correct the gingival smile. AI is an anomaly with complex development and early diagnosis is essential for the conduct and success of the case, to improve aesthetics and function, preserving the characteristic tooth wear.

scholarly journals Dental aspects of purging bulimia

2020 ◽  
Vol 77 (3) ◽  
pp. 300-307
Author(s):  
Jovana Manevski ◽  
Ivana Stojsin ◽  
Karolina Vukoje ◽  
Ognjenka Jankovic
Keyword(s):  
Clinical Examination ◽  
Erosive Wear ◽  
Tooth Wear ◽  
Dental Erosion ◽  
Dental Tissue ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Dmft Index ◽  
Carious Process

vomiting, which in long term can result in irreversible loss of dental tissue, most commonly manifested as dental erosion. Frequent purging, xerostomia, lack of oral hygiene and acidic environment are also suitable for caries development. The aim of the research was to determine the presence, localization and degree of dental erosion using Basic Erosive Wear Examination (BEWE) index system, as well as to determine the Decayed, Missing and Filled Teeth (DMFT) index in purging bulimic patients. Methods. The study involved 30 purging bulimic patients and 30 healthy subjects. Used methods were survey (questionnaire) and clinical examination. The clinical examination included intraoral inspection and assessment of dental status using BEWE and DMFT index. Results. On the bases of conducted research, it has been found that dental erosion are significantly more often present in purging bulimics compared to the controls (?2 = 5.963, p < 0.05), that eroded lesions are more severe in the bulimic group (t = 3.925, p < 0.05) and predominantly located on oral surfaces of the teeth (?2 = 10.561, p < 0.05). DMFT index values showed no significant difference between bulimic patients and controls (t = 0.741, p = 0.461). Conclusion. Dental erosion are often encountered in patients suffering purging bulimia, especially on oral surfaces of anterior teeth that come into direct contact with gastric acid, so many bulimics exhibit high values of erosive tooth wear on mentioned surfaces. DMFT index score did not show significant differences compared to healthy participants, but due to complexity of carious process further investigation is necessary.

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 To Evaluate the Severity, Distribution of Occlusal Tooth Wear and its Correlation with Bite Force in Young North Indian Adults

2018 ◽  
Vol 12 (1) ◽  
pp. 735-741 ◽  
Author(s):  
Mandeep Kumar ◽  
Rashmi Verma ◽  
Mohit Bansal ◽  
Sunint Singh ◽  
Sharique Rehan ◽  
...  
Keyword(s):  
Tooth Wear ◽  
Vegetarian Diet ◽  
Diet Group ◽  
Bite Force ◽  
Wear Loss ◽  
Group Function ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Group Function Occlusion ◽  
Canine Guided Occlusion

Aim: To determine the severity and distribution of occlusal tooth wear among young North Indian adults and to evaluate the correlation of occlusal tooth wear with bite force. Materials and Methods: A total of 164 subjects were enrolled in the present study. Inclusion criteria included subjects with age range of 25-40 years having a full complement of natural dentition (excluding third molars), with no history of orthodontic treatment, FPD and trauma. Maxillary and mandibular casts of each subject were taken. Tooth wear score of anterior and posterior teeth of both the arches was calculated using a five-point (0 to 4) ordinal scoring system. The calculated tooth wear scores were then compared with data concerning age, sex, number of daily meals, vegetarian/non-vegetarian diet, Group function/Canine guided occlusion and bite force. Nonparametric (Mann-Whitney) test was used to determine the relationship between various factors and occlusal tooth wear. Spearman’s correlation coefficient was used to determine the correlation between tooth wear and bite force. Results: After applying statistical analysis to the data collected, total tooth wear score of the whole sample was 30.07 ± 6.39. Anterior teeth had significantly higher wear score than posteriors (P < 0.01). Males showed significantly higher (P < 0.001) tooth wear in both arches factors such as bite force and age showed significant correlation with tooth wear (P=0.000), however, the number of meals taken per day did not show any significant correlation. Higher tooth wear loss was seen in non vegetarian dietary pattern but it was statistically insignificant. It was also found that Group function occlusion showed significantly higher mean tooth wear loss 45.76 ± 9.19 as compared to Canine guided occlusion 26.37 ± 10.68 (P=0.000).

Intrusion of the maxillary posterior teeth with a single buccal mini-implant positioned bilaterally in young adults with a tendency towards hyperdivergence: A clinical study

2022 ◽  
pp. 146531252110710
Author(s):  
A Sumathi Felicita ◽  
Thameem UL Wahab
Keyword(s):  
Vertical Plane ◽  
Young Patients ◽  
Treatment Protocol ◽  
Posterior Teeth ◽  
Permanent Molar ◽  
Mini Implants ◽  
Anterior Teeth ◽  
Facial Height ◽  
Lateral Cephalograms ◽  
Maxillary Molar

Background: Skeletal anchorage systems have been used for intrusion of the posterior teeth with satisfactory results. To achieve this, mini-implants are placed at anatomically challenging sites such as the palate or require several mini-implants to produce the desired effect. Objective: To determine the magnitude of intrusion of the maxillary posterior teeth achieved on a continuous arch wire using a single buccal mini-implant placed bilaterally in young patients with a tendency towards hyperdivergence and to evaluate its influence on the skeletal, dental and soft-tissue structures. Methods: A total of 17 patients with proclination of the anterior teeth, tendency towards hyperdivergence and clockwise rotation of the mandible were selected. First premolars were extracted as part of treatment protocol. A 0.022-MBT bracket prescription was used. Mini-implants were placed bilaterally on the buccal aspect at the mucogingival junction or slightly gingival to it between the maxillary second premolar and first permanent molar. A total of 200 g of intrusive force was placed from a continuous 0.019 × 0.025 inch stainless-steel arch wire to the mini-implant by means of an elastomeric thread on both sides. Lateral cephalograms and study models were taken before the start of intrusion and six months later. Parametric and non-parametric tests were done to assess treatment results. Results: Significant intrusion was observed in the maxillary molar and premolar region with tendency towards intrusion in the anterior region. There was significant decrease in lower anterior facial height (LAFH) with anti-clockwise mandibular rotation, decrease in facial proportion index and total facial height. No changes were observed in the transverse plane. Conclusion: Intrusion of the permanent maxillary molar can be achieved on a continuous arch wire with a single buccal mini-implant placed bilaterally with improvement in facial aesthetics, especially in the vertical plane. This method may be beneficial in patients with borderline vertical discrepancy treated with conventional friction mechanics during space closure after first premolar extractions.

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.

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