scholarly journals Management of Tooth Wear: An Interdisciplinary Approach

2016 ◽  
Vol 5 (2) ◽  
pp. 139-145
Author(s):  
Tsz M Leung ◽  
Michael G Botelho ◽  
Yanqi Yang ◽  
Edward HT Ho
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Interdisciplinary Approach ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Clinical Report ◽  
Dental Restorations ◽  
Full Mouth Rehabilitation ◽  
And Function ◽  
Functional Solution

ABSTRACT Aims This case report aims to describe a conservative interdisciplinary approach to restore generalized tooth wear complicated with malalignment of teeth. Introduction Tooth wear is the surface loss of dental hard tissue, i.e., usually multifactorial in origin, excluding other than caries, trauma, or developmental disorder. Severe tooth wear impact the appearance, comfort, function, or longevity of the tooth. Prosthodontic management of patients with tooth wear has been well documented, although prosthodontic treatment is designed to correct minor malocclusion, patients with moderate-to-severe malocclusion accompanied by generalized tooth wear may require preprosthetic orthodontic intervention. Case report This case report describes a 47-year-old male patient with generalized tooth wear complicated with lack of interocclusal space and malalignment of teeth. Preventive measures were carried out to address the etiological factors of tooth wear. After orthodontic treatment, definitive restoration was placed in reorganized occlusion at an increased vertical dimension, which restored esthetic and function. Conclusion In this clinical report, generalized tooth wear with insufficient space for restoration, complicated by malalignment of teeth, was managed by way of an interdisciplinary approach which allowed a conservative full-mouth rehabilitation. After orthodontic treatment, a reorganized restorative approach was undertaken at an increased vertical dimension, providing an esthetic and functional solution. An occlusal night guard was provided to protect the dental restorations. Clinical Significance Interdisciplinary approach allows a conservative management for patient with tooth wear complicated by malalignment of teeth. How to cite this article Leung TM, Botelho MG, Yang Y, Ho EHT. Management of Tooth Wear: An Interdisciplinary Approach. Int J Experiment Dent Sci 2016;5(2):139-145.

scholarly journals Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Somayeh Zeighami ◽  
Hakimeh Siadat ◽  
Sakineh Nikzad
Keyword(s):  
Tooth Wear ◽  
Vertical Dimension ◽  
Treatment Modalities ◽  
Clinical Report ◽  
Centric Relation ◽  
Short Implants ◽  
Anterior Guidance ◽  
Full Mouth Rehabilitation ◽  
Diagnostic Work ◽  
Ceramic Restorations

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.

scholarly journals Full mouth rehabilitation of the patient with severe tooth loss and tooth wear with vertical dimension gaining: A case report

2018 ◽  
Vol 56 (4) ◽  
pp. 302 ◽  
Author(s):  
Yu Jin Jo ◽  
Sua Jung ◽  
Hong-So Yang ◽  
Sang-Won Park ◽  
Hyun-Pil Lim ◽  
...  
Keyword(s):  
Case Report ◽  
Tooth Loss ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Full Mouth Rehabilitation

scholarly journals Combined Orthodontic and Restorative Minimally Invasive Approach to Diastema and Morphology Management in the Esthetic Area. Clinical Multidisciplinary Case Report with 3-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
L. Giannetti ◽  
R. Apponi
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Orthodontic Treatment ◽  
Interdisciplinary Approach ◽  
Careful Consideration ◽  
Clinical Report ◽  
Anterior Portion ◽  
Invasive Approach ◽  
Anterior Teeth ◽  
First Choice

Introduction. Ceramic laminates are restorations that are bonded using adhesive techniques, which provide for the treatment of the prepared dental elements according to well-defined steps. Adhesive cementation guarantees high predictability and esthetics. Orthodontic treatment is the first choice in patients with a dental misalignment. Patients who have dental element color and shape issues will undergo restorative treatment following orthodontics. Case Report. This clinical report describes a case treated with an interdisciplinary approach (orthodontic and prosthetic) of a patient who presented with diastemas, inversion of dental axes, small clinical crowns, and chromatic imperfections in the anterior maxillary teeth. The esthetic expectations of the patient for the anterior portion of the maxillary anterior teeth have been successfully achieved through orthodontic treatment and the realization of ceramic veneers. An accurate interdisciplinary evaluation of the treatment was necessary for a satisfactory result in the anterior maxillary teeth esthetically compromised in several aspects. Discussion. The modern materials used with the strict protocol of the adhesive procedures allow a minimally invasive, highly esthetic approach with an excellent long-term prognosis. The restorations must reproduce the physiological characteristics of the natural teeth aiming at an excellent biological, biomechanical, functional, and esthetic integration. Many adult patients come to visit with a combination of problems; the esthetic rehabilitation of these cases requires the evaluation of the quantity of gingival exposure, of the gingival architecture, of the size of the clinical crowns, and of the dental position. The ideal treatment of these cases involves an interdisciplinary approach. Prosthodontists, periodontists, orthodontists, and dental technicians must work together because the understanding of the various phases of treatment is fundamental to achieve the desired clinical result. Conclusion. The coordinated treatment of the orthodontist, periodontist, and prosthodontist, with careful consideration of the expectations and requests of patients, was fundamental for the success and satisfaction of the patient.

scholarly journals Use of Zirconia to Restore Severely Worn Dentition: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Manish Agrawal ◽  
Banashree Sankeshwari ◽  
Channaveer V. Pattanshetti
Keyword(s):  
Case Report ◽  
Systematic Approach ◽  
Tooth Wear ◽  
Vertical Dimension ◽  
Critical Aspect ◽  
Successful Management ◽  
Full Mouth Rehabilitation ◽  
Occlusal Vertical Dimension ◽  
Points Of View ◽  
Treatment Prognosis

The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. Severe tooth wear is frequently multifactorial and variable. Successful management is a subject of interest in dentistry. A critical aspect is to determine the occlusal vertical dimension (OVD) and a systematic approach that can lead to a predictable and favorable treatment prognosis. Management of patients with worn dentition is complex and difficult. Accurate clinical and radiographic examinations, a diagnostic wax-up, and determining OVD are crucial. This paper describes the full-mouth rehabilitation of a 47-year-old bruxer with a severely worn dentition.

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 The Anterior Ratio: The Missing Link between Orthodontics and Aesthetic Dentistry

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Raman Aulakh
Keyword(s):  
Case Report ◽  
Diagnostic Tool ◽  
Orthodontic Treatment ◽  
Treatment Goals ◽  
Restorative Dentistry ◽  
Orthodontic Appliance ◽  
Important Diagnostic Tool ◽  
Anterior Ratio ◽  
Aesthetic Dentistry ◽  
And Function

There is an increase in the number of dentists using orthodontic treatment for anterior tooth alignment. This is either combined with additive bonding or interproximal reduction; knowing “when to” and “how much” requires an understanding of the anterior ratio. This case report explains how to use the anterior ratio to help provide optimal aesthetics and function for the ortho-restorative patient. The anterior ratio is an important diagnostic tool required for both disciplines of orthodontics and restorative dentistry which is often overlooked. The case report demonstrates the use of the Invisalign orthodontic appliance and the corresponding ClinCheck software to help achieve the proposed treatment goals.

Correction of a Class III Malocclusion with All-on-4 Concept Implant Supported Full Mouth Rehabilitation: Clinical Case Report

2020 ◽  
Author(s):  
Mahmoud Serag ◽  
Heba Ismail ◽  
Joseph Zichella
Keyword(s):  
Case Report ◽  
Significant Loss ◽  
Vertical Dimension ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Partial Denture ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Full Mouth Rehabilitation

This case report describes the correction of a skeletal Class III malocclusion by performing alveoloplasty and All-on-four styletitanium/acrylic (hybrid) fixed/detachable implant supported prosthesis.  A 76-year-old Hispanic,female patient with a noncontributory medical history presented to the clinic with a chief complaint of “I cannot wear my upper partial denture, it keeps on breaking”. Intraoral examination revealed significant inter-arch Class III relation, supra-erupted mandibular dentition, and significant loss of the vertical dimension of occlusion. Surgical treatment included edentulation of the patient in addition to a significant mandibular alveoloplasty in order to correct the patient’s malocclusion prosthetically. Through proper planning and execution, a skeletal Class III relationship was corrected with an implant supported All-on-four maxillary/mandibular prostheses. An edge-to-edge incisal relationship was achieved along with an appropriate vertical dimension of occlusion. The preplanning protocol allowed determination of the required alveoloplasty in order to obtain sufficient restorative space to allow for the correction of the skeletal malocclusion prosthetically.

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