J Dent Rehabil Appl Sci.  2016 Sep;32(3):255-262. 10.14368/jdras.2016.32.3.255.

Full mouth rehabilitation of severely worn dentition using posterior implants: a clinical report

• Kang HS
• Lee CW
• Lee WS
• Lee SY

• KMID: 2357855
• DOI: http://doi.org/10.14368/jdras.2016.32.3.255

Abstract

This clinical report focuses on the treatment of a patient with esthetic and functional impairments due to severe worn dentition. Absence of posterior support for a prolonged period require comprehensive prosthetic restoration. Accurate clinical and radiographic examinations, diagnostic wax-up, and occlusal vertical dimension evaluation were performed and the degree of patient adaptability was evaluated using an interim restoration. After 8 weeks of stabilization with interim restoration and confirmation of absence of any abnormal findings, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes were observed after 6 months of follow-up.

Keyword

tooth wear; vertical dimension; full mouth rehabilitation

MeSH Terms

Dentition*
Follow-Up Studies
Humans
Mouth Rehabilitation*
Mouth*
Prostheses and Implants
Tooth Wear
Vertical Dimension

Figure

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  Fig. 1 Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 2 Initial panoramic radiographic image before treatment.

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  Fig. 3 Initial TMJ series. No evidence of pathologic change was seen.

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  Fig. 4 Primary diagnostic wax-up.

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  Fig. 5 Secondary diagnostic wax-up.

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  Fig. 6 (A) Provisional restoration, (B) Customized incisal guide table.

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  Fig. 7 Final prostheses delivery. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 8 Analysis of the smile line.

Reference

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