scholarly journals Use of Occlusal Splints in Patients with Deep Bite and Bruxism

2018 ◽  
Vol 2 (1) ◽  
pp. 427-431
Author(s):  
Paulina Lozano

The occlusal splints are most commonly used devices for the treatment of temporomandibular disorders and bruxism. A case report of a male patient with deep bite and bruxism, indicating two flat occlusal splints presents full coverage made up of rigid acrylic and permanent use for five months is described. Using both intraoral devices allowed restoring lost vertical dimension and protect teeth attrition, deprogram the musculature and establish a new mandibular positioning prior to treatment of oral rehabilitation.

Author(s):  
Rahul S Kulkarni

ABSTRACT The loss of tooth substance due to attrition and abrasion may lead to sensitivity to hot and cold, compromised esthetics, loss of anterior guidance and decreased masticatory efficiency. This case report describes the oral rehabilitation of a patient with abrasion, attrition and missing teeth. Treatment consisted of endodontic treatments of multiple teeth followed by their full coverage restorations, and fixed partial dentures for replacement of missing teeth. Esthetic and functional rehabilitation resulted in patient satisfaction, and no complications were noted related to the treatment after 1 year. How to cite this article Kulkarni RS. Esthetic and Functional Rehabilitation of a Patient with Abrasion, Attrition, and Missing Teeth. Int J Prosthodont Restor Dent 2014;4(2):52-55.


2017 ◽  
Vol 1 (1) ◽  
pp. 1-4
Author(s):  
Noriaki Aoki ◽  
Arisa Inoue ◽  
Yasufumi Kosugi ◽  
Chika Koyama ◽  
Masaki Iida ◽  
...  

The purpose of this article is to report an innovative technique for an increase vertical dimension with screwed denture fixation and intravenous sedation for the patients with severe deep bite. Bite raising is essential to maintain a long term stability of occlusion in the case of implant treatment associated with severe deep bite. Generally, a removable denture is used to increase occlusal vertical dimension for the first step of oral rehabilitation in the case of severe deep bite. However, these patients sometimes fail wearing removable denture for increasing vertical dimension, because of severe discomfort. On the other hand, an intravenous sedation is advantage that the patients fall asleep and is completely unaware of the procedure being performed. Therefore combination screwed denture fixation and intravenous sedation allowed to raise occlusal vertical dimension in implant treatment. In conclusion, this combined method using screwed denture and intravenous sedation are the most promising technique for implant treatment to raise the vertical occlusal dimension for the patients with severe deep bite. Keywords: Severe deep bite, Screwed denture, Bite raising, Implant fracture


2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Ya-Wen Zhao ◽  
Rong Gao ◽  
Hui-Qiang Sun

Full mouth reconstruction is one of the most effective methods to restore severe worn teeth that have suffered reduced vertical dimension. Although the use of the overlay splint restoration for a trial period allowing the patient to adapt to an increased vertical dimension is the recognized method, the specific protocol from the transitional splint to the fixed reconstruction is yet to be established. This case report describes a 50-year-old female patient who has severely worn teeth combined with an anterior deep bite and chewing pain. The protocol of the treatment process is described.


RSBO ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 44-09
Author(s):  
Mariana Dalledone ◽  
Fernanda Mara de Paiva Bertoli ◽  
Ana Paula Sponchiado ◽  
Estela Maris Losso ◽  
João Armando Brancher ◽  
...  

Ectodermal dysplasia is an abnormality of the ectoderm and its derivatives, phenotypically expressed in males and genetically inherited from mothers. Objective: To report the efficacy of the prosthetics treatment of severe ectodermal dysplasia in a 6-year-old boy with hypohidrotic ectodermal dysplasia (HED). Case report: The boy had difficulty in speaking and eating and the condition also affected his self-esteem. Prosthetic treatments included the construction of acrylic custom trays, determination of the vertical dimension of occlusion (VDO), construction of upper and lower dentures, and palatal expansion procedure. Conclusion: Significant improvements in the patient’s stomatognathic function and self-esteem were evident.


2017 ◽  
Vol 5 (7) ◽  
pp. 983-986 ◽  
Author(s):  
Ljuben Guguvcevski ◽  
Nikola Gigovski ◽  
Aneta Mijoska ◽  
Katerina Zlatanovska ◽  
Ana Arsova Gigovska

BACKGROUND: The term decreased occlusal vertical dimension refers to the reduced distance between two anatomical points while the teeth are in a state of occlusion. The development of this situation is about some parafunctional activities of the masticatory system.AIM: To evaluate the value of decreased occlusal vertical dimension in cases with temporomandibular disorder and to follow up the influence of corrective treatment with occlusal splints and definitive prosthetic construction upon the elimination of clinical symptoms.MATERIAL AND METHODS: Eight cases with decreased occlusal vertical dimension accompanied with temporomandibular disorders were treated with an occlusal splint, as part of reversible occlusal treatment. After reducing, or complete elimination of the symptoms related to problems of decreased occlusal vertical dimension, the definitive prosthetic therapy was performed.RESULTS: The mean value of decreased occlusal vertical dimension in our patients is 8.5 mm, and the mean value of therapy time with an occlusal splint in these patients was 3.5 months.CONCLUSION: Occlusal splint is a part of reversible occlusal therapy in cases with decreased occlusal vertical dimension. After reducing the symptoms related to decreased occlusal vertical dimension definitive prosthetic therapy can be done.


2013 ◽  
Vol 14 (1) ◽  
pp. 123-128 ◽  
Author(s):  
José Augusto César Discacciati ◽  
Eduardo Lemos de Souza ◽  
Sérgio Carvalho Costa ◽  
Vinícius de Magalhães Barros ◽  
Walison Arthuso Vasconcellos

ABSTRACT During the planning of oral rehabilitation, the vertical dimension of occlusion (VDO) is one of the first parameters to be measured since its improper restoration can lead to the failure of any prosthetic rehabilitation. A decreased VDO can lead to the appearance of lesions, such as angular cheilitis, facial disharmony, and temporomandibular disorders; meanwhile, an increased VDO may lead to the onset of joint and muscle pain, tension in functional speech, difficulty in swallowing, impaired chewing, tooth sensitivity due to traumatogenic forces, pathologic bone resorption, abnormal wearing of teeth, the appearance of an elongated face, and a facial expression of fatigue. Most scientific articles deal with methods and techniques for re-establishing VDO in edentulous patients or those who have lost their tooth reference due to prosthetic preparations. However, patients with increased VDO are also found in everyday practice. One treatment option for these patients is occlusal adjustment by selective tooth wear; it is still possible to perform orthodontic intrusion and/or orthognathic surgery in severe cases. The aim of this study was to discuss signs, symptoms, diagnosis, and treatment, and to report a clinical case of a patient with increased VDO. How to cite this article Discacciati JAC, de Souza EL, Vasconcellos WA, Costa SC, Barros VM. Increased Vertical Dimension of Occlusion: Signs, Symptoms, Diagnosis, Treatment and Options. J Contemp Dent Pract 2013;14(1): 123-128.


2014 ◽  
Vol 40 (2) ◽  
pp. 203-210 ◽  
Author(s):  
Vanessa Helena Jamcoski ◽  
Fernanda Faot ◽  
Ivete Aparecida de Mattias Sartori ◽  
Rogéria Acedo Vieira ◽  
Rodrigo Tiossi

The prosthetic management of a poor implant treatment is presented in this case report. The recommended occlusion concepts for implant-supported prostheses were applied for the resolution of the case. The rehabilitation of the posterior segments provided a mutually protected occlusion with adequate distribution of the axial and lateral bite forces with stable posterior occlusion. The clinical exam indicated the need for modification in the vertical dimension of occlusion. Sufficient interocclusal rest space was present to test the alteration in the vertical dimension. The aim was to achieve an occlusion scheme that followed four specific criteria: (1) centric contacts and centric relation of the jaw-to-jaw position; (2) anterior guidance only; (3) shallow anterior angle of tooth contact; and (4) vertical dimension of occlusion with acceptable tooth form and guidance. The success of an oral rehabilitation relies in following the aforementioned criteria, appropriate interaction between the dental laboratory technician and the clinician, careful elaboration of the provisional rehabilitation with all the desired details to be reproduced in the final prosthetic restoration and sufficient follow-up time of the provisional prostheses before placing the final restoration.


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