Occlusal Rehabilitation in a Partially Edentulous Patient with Lost Vertical Dimension Using Dental Implants: A Clinical Report

Abstract Aim This clinical report describes the occlusal rehabilitation of a partially edentulous patient with lost vertical dimension. Background The patient did not want a removable partial denture. Implants, fixed restorations with occlusal plane correction, were used to restore the anterior and posterior support and treat the severely worn dentition. However, a partially edentulous patient may be unable to recover normal function, esthetics, comfort, or phonetics with a conventional removable dental prosthesis. The use of dental implants–supported fixed prosthesis offers a multitude of benefits over a tooth–soft tissue supported removable partial denture prosthesis. Summary This clinical report describes an organized approach to an occlusal reconstruction of a severely worn dentition, partially edentulous patient with fixed restorations, implants, occlusal plane correction, and recovery of the vertical dimension. The treatment offered the patient improved esthetics and the restoration of oral function. Clinical Significance The main indications for implant-supported restorations in a partially edentulous patient are the elimination of the freeend distal extension and the benefit from fixed restorations. Success with implant-supported prosthodontics needs the same or more attention to detail and careful treatment planning for conventional fixed prosthodontics; a team approach is recommended. Citation Madami AS, Moeintaghavi A, Rezaeei M. Occlusal Rehabilitation in a Partially Edentulous Patient with Lost Vertical Dimension Using Dental Implants: A Clinical Report. J Contemp Dent Pract (internet]. 2010 December; 11(6):058-064. Available from http://www.thejcdp. com/journal/view/volume11-issue6-rezaeei

Download Full-text

Prosthetic rehabilitation in a partially edentulous patient with lost vertical dimension: a clinical report

Nepal Journal of Medical Sciences ◽

10.3126/njms.v2i1.7658 ◽

2013 ◽

Vol 2 (1) ◽

pp. 77-80 ◽

Cited By ~ 2

Author(s):

P Joshi

Keyword(s):

Vertical Dimension ◽

Occlusal Plane ◽

Clinical Report ◽

Medical Sciences ◽

Prosthetic Rehabilitation ◽

Missing Teeth ◽

Edentulous Patient ◽

Posterior Teeth ◽

Tooth Structure ◽

Maxillary Arch

Rehabilitation becomes more challenging with the partial edentulism where bilateral segment is found missing. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes the rehabilitation of a 65-year old female patient with multiple missing teeth and severe loss of tooth structure. The maxillary arch was restored with fixed partial dentures and the mandibular arch using porcelain fused to metal crowns and removable prosthodontics. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 77-80 DOI: http://dx.doi.org/10.3126/njms.v2i1.7658

Download Full-text

Restoration of occlusal vertical dimension by means of a silica-coated onlay removable partial denture in conjunction with dentin bonding: A clinical report

Journal of Prosthetic Dentistry ◽

10.1016/0022-3913(91)90250-z ◽

1991 ◽

Vol 66 (3) ◽

pp. 283-286 ◽

Cited By ~ 4

Author(s):

Richard D. Trushkowsky ◽

Bahman Guiv

Keyword(s):

Vertical Dimension ◽

Clinical Report ◽

Removable Partial Denture ◽

Partial Denture ◽

Dentin Bonding ◽

Occlusal Vertical Dimension

Download Full-text

Restoration of the Occlusal Vertical Dimension with an Overlay Removable Partial Denture: A Clinical Report

Journal of Prosthodontics ◽

10.1111/jopr.12351 ◽

2015 ◽

Vol 25 (7) ◽

pp. 585-588 ◽

Cited By ~ 2

Author(s):

Piero Rocha Zanardi ◽

Mayara Silva Santos ◽

Roberto Chaib Stegun ◽

Newton Sesma ◽

Bruno Costa ◽

...

Keyword(s):

Vertical Dimension ◽

Clinical Report ◽

Removable Partial Denture ◽

Partial Denture ◽

Occlusal Vertical Dimension

Download Full-text

A Treatment Protocol for Restoring Occlusal Vertical Dimension Using an Overlay Removable Partial Denture as an Alternative to Extensive Fixed Restorations: A Clinical Report

The Open Dentistry Journal ◽

10.2174/1874210600903010213 ◽

2009 ◽

Vol 3 (1) ◽

pp. 213-218 ◽

Cited By ~ 5

Author(s):

Mit B Patel ◽

Sompop Bencharit

Keyword(s):

Scientific Evidence ◽

Treatment Options ◽

Treatment Protocol ◽

Vertical Dimension ◽

Clinical Report ◽

Removable Partial Denture ◽

Partial Denture ◽

Advantages And Disadvantages ◽

Occlusal Vertical Dimension ◽

Fixed Prosthesis

Treatment options for patients with severe attrition resulting in reduced occlusal vertical dimension are often limited to fixed prosthesis to reestablish proper occlusal vertical dimension and functional occlusion. In some cases such as when there are limited finances, minimal esthetic concerns, and medical considerations fixed prosthesis may not be the ideal treatment option. Overlay removable partial dentures (ORPDs) can be used as a provisional or interim prosthesis as well as permanent prosthesis in these cases. While ORPDs can provide a reversible and relatively inexpensive treatment for patients with a significantly compromised dental status, there is not much scientific evidence in the literature on ORPDs. Most studies published on ORPDs to date are primarily reviews and clinical reports. In this article, literatures on ORPDs are summarized and a patient treated with interim and permanent ORPDs is presented. This article reviews previously published literatures on the use of ORPDs. Indications, advantages and disadvantages are discussed. Treatment protocol with an example of the prosthodontic treatment of a patient with severely worn dentition with an interim ORPD and later a permanent ORPD are discussed in details.

Download Full-text