J Korean Acad Prosthodont.  2013 Jan;51(1):33-38. 10.4047/jkap.2013.51.1.33.

Reestablishing the occlusal plane in full mouth rehabilitation patient, using Shilla system

• Yang MS
• Vang MS
• Park SW
• Lim HP
• Yun KD
• Yang HS

• KMID: 2000184
• DOI: http://doi.org/10.4047/jkap.2013.51.1.33

Abstract

Occlusal plane is a sagittal expression of dental arch form, and it composes the shape of occlusion, which is one of the most important elements of Maxillo-oral system. In this case, vertical, horizontal coordinates of bionic-median-sagittal plane was produced in articulator, and to achieve relation of left and right position of upper, lower teeth and deficits in alveola, Shilla system was used to reconstruct occlusal plane. In this case, a 41 year-old male patient visited for fracture of 10 unit metal-ceramic fixed partial denture of upper anterior teeth and for overall treatment. Clinical, radiographical, model examination was held, full mouth rehabilitation was achieved by placing dental implant. Maxillo-oral relation was recorded using Gothic arch Tracer complex and were mounted. And for the next step, we estimated original occlusal plane using Shilla system. After analysis we produced diagnosis wax pattern. On the basis of this, radiography stent was manufactured and dental implant was placed, and temporary prosthesis was made by using diagnosis wax pattern. Cross mounting and anterior guiding table were performed in order to reproduce temporary restoration morphology and bite pattern, followed by final restoration made of all ceramic crown with zirconia coping. As stated above, appropriately esthetic and functional results can be seen in using Shilla system in diagnosis and treatment procedure of full mouth rehabilitation patient.

Keyword

Full mouth rehabilitation; Shilla system; All ceramic crown

MeSH Terms

Bites and Stings
Ceramics
Crowns
Dental Arch
Dental Articulators
Dental Implants
Dental Occlusion
Denture, Partial, Fixed
Humans
Male
Mouth
Mouth Rehabilitation
Prostheses and Implants
Stents
Tooth
Zirconium
Ceramics
Dental Implants
Zirconium

Figure

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  Fig. 1. Initial intraoral photograph. A: Maxillary occlusal view, B: Mandibular occlusal view, C: Right buccal view, D: Left buccal view, E: Frontal view.

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  Fig. 2. Panoramic radiograph.

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  Fig. 3. Traditional ear-bow transfer. A: Traditional ear-bow transfer, B: Facial midline and occlusal plane, C: Articulator midline and occlusal plane.

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  Fig. 4. Shilla system (Hamans, Tokyo, Japan). A: Shilla I - median-sagittal plane, B: Shilla II -occlusal plane determination, C: Gothic arch Tracer and mounting, D: Diagnostic wax-up.

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  Fig. 5. Temporary restoration. A: Intraoral photo, B: Extraoral photo.

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  Fig. 6. Full contour wax-up. A: Full wax-up, B: Final maxillary restoration.

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  Fig. 7. Final restoration. A: Maxillary occlusal view, B: Mandibular occlusal view, C: Right buccal view, D: Left buccal view, E: Frontal view, F: Extraoral photograph.

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