Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report

2012 ◽  
Vol 50 (4) ◽  
pp. 305
Author(s):  
So-Mi Chung ◽  
Hyeong-Seob Kim ◽  
Kung-Rock Kwon
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.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Somayeh Zeighami ◽  
Hakimeh Siadat ◽  
Sakineh Nikzad

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.


Sign in / Sign up

Export Citation Format

Share Document