J Korean Acad Prosthodont.  2012 Oct;50(4):305-310. 10.4047/jkap.2012.50.4.305.

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

• Chung SM
• Kim HS
• Kwon KR

• KMID: 2195473
• DOI: http://doi.org/10.4047/jkap.2012.50.4.305

Abstract

It is a great challenge for dentists to do prosthetic restorations of a patient with reduced occlusal vertical dimension (OVD). Proper determination of the OVD is significant. An 85-year-old male patient came in with missing right maxillary posterior teeth. After diagnostic wax-up, reversible provisional prostheses were used to evaluate the new OVD in the maxilla and mandible. After that, the patient was evaluated clinically based on the criteria of esthetic, phonetic, and OVD. After 8 weeks, teeth with excessive wear were treated with root canal therapy and fiber post and core and irreversible provisional prostheses were done. After 8 weeks of observation period, final restorations with fixed partial dentures and removable partial dentures were made. Throughout the follow-up period of 6 months, no symptoms related with increased OVD and mechanical complications were observed.

Keyword

Full-mouth rehabilitation; Occlusal vertical dimension (OVD)

MeSH Terms

Aged, 80 and over
Dentists
Denture, Partial, Fixed
Denture, Partial, Removable
Follow-Up Studies
Humans
Male
Mandible
Maxilla
Porphyrins
Prostheses and Implants
Root Canal Therapy
Tooth
Vertical Dimension
Porphyrins

Figure

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  Fig. 1 Intraoral photographs before treatment (A) Maxillary occlusal view (B) Frontal view (C) Mandibular occlusal view (D) Old mandibular removable partial denture.

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  Fig. 2 Panoramic radiograph before treatment.

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  Fig. 3 Facial photographs before treatment (A) Lateral view (B) Frontal view.

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  Fig. 4 First provisional prostheses (A) A diagnostic wax-up (B) Frontal view.

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  Fig. 5 Secondary provisional prostheses.

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  Fig. 6 Definitive prostheses (A, D) Maxillary occlusal view (B, E) Frontal view (C, F) Mandibular occlusal view.

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  Fig. 7 Facial photographs after treatment (A, B) Frontal view (C) Lateral view.

Reference

1. Weinberg LA. Vertical dimension: a research and clinical analysis. J Prosthet Dent. 1982. 47:290–302.

2. Murphy T. Compensatory mechanisms in facial height adjustment to functional tooth attrition. Aust Dent J. 1959. 4:312–323.

3. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J. 2012. 57:2–10.

4. Mays KA. Reestablishing occlusal vertical dimension using a diagnostic treatment prosthesis in the edentulous patient: a clinical report. J Prosthodont. 2003. 12:30–36.

5. Rivera-Morales WC, Mohl ND. Restoration of the vertical dimension of occlusion in the severely worn dentition. Dent Clin North Am. 1992. 36:651–664.

6. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos. 1935. 77:851–854.

7. Silverman MM. The speaking method in measuring vertical dimension. 1952. J Prosthet Dent. 2001. 85:427–431.

8. Silverman MM. Determination of vertical dimension by phonetics. J Prosthet Dent. 1956. 6:465–471.

9. Pound E. Let /S/ be your guide. J Prosthet Dent. 1977. 38:482–489.

10. Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent. 1984. 52:467–474.

11. Rivera-Morales WC, Mohl ND. Restoration of the vertical dimension of occlusion in the severely worn dentition. Dent Clin North Am. 1992. 36:651–664.

12. Hemmings KW, Howlett JA, Woodley NJ, Griffiths BM. Partial dentures for patients with advanced tooth wear. Dent Update. 1995. 22:52–59.

13. Ibbetson RJ, Setchell DJ. Treatment of the worn dentition: 2. Dent Update. 1989. 16:300–302. 305–307.

14. Fayz F, Eslami A. Determination of occlusal vertical dimension: a literature review. J Prosthet Dent. 1988. 59:321–323.

15. Oh YR, Lee SB, Park NS, Choi DG. A study of intraoral anatomic landmarks of Korean adult-upper jaw. J Korean Acad Prosthodont. 1995. 33:753–768.

16. Badr SE, Unger JW. Reconstruction of a severely abraded dentition using an overdenture. Quintessence Int. 1986. 17:293–297.