J Korean Acad Prosthodont.  2016 Apr;54(2):160-166. 10.4047/jkap.2016.54.2.160.

Full-mouth rehabilitation without changing the vertical dimension in patient with worn dentition

• Kim M
• Kim N
• Jang HW
• Lee YS

• KMID: 2162393
• DOI: http://doi.org/10.4047/jkap.2016.54.2.160

Abstract

Although physiologic abrasion in normal range need not to be corrected, when hard tissue of teeth are worn abnormally fast, it can cause severe damage and destroy esthetics and, functional structure of occlusion consequently. To establish a correct occlusal plane and space for the patient with worn dentition, it is necessary to increase vertical dimension. However, actual occlusal vertical dimension remains unhanged with compensation for the increase of alveolar bone height equivalent to the decrease of teeth length. A 74-year-old male presented with worn dentition and fractured tooth. Based on the assessment of OVD including clinical findings, full-mouth rehabilitation without increase of OVD was planned. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition without changing occlusal vertical dimension.

Keyword

Tooth wear; Vertical dimension of occlusion; Full-mouth rehabilitation

MeSH Terms

Aged
Compensation and Redress
Dental Occlusion
Dentition*
Esthetics
Humans
Male
Reference Values
Rehabilitation*
Tooth
Tooth Wear
Vertical Dimension*

Figure

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  Fig. 1. Initial intraoral photograph. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view, (D) Right side view, (E) Left side view.

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  Fig. 2. Extraoral photograph.

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  Fig. 3. Panoramic radiograph before treatment.

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  Fig. 4. Face-bow transfer. (A) Right side view, (B) Frontal view.

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  Fig. 5. Diagnostic wax up. (A) Right side view, (B) Frontal view, (C) Left side view.

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  Fig. 6. Provisional restorations. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view, (D) Right side view, (E) Left side view.

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  Fig. 7. Final preparation and impression taking. (A) Maxillary preparation, (B) Mandibular preparation, (C) Maxillary impression, (D) Mandibular impression.

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  Fig. 8. Bite registration.

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  Fig. 9. Full contour wax up. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view, (D) Right side view, (E) Left side view.

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  Fig. 10. Metal coping try-in.

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  Fig. 11. Final restoration delivery. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view, (D) Right side view, (E) Left side view.

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