J Korean Acad Prosthodont.  2017 Apr;55(2):187-197. 10.4047/jkap.2017.55.2.187.

Full-mouth rehabilitation of partial edentulism in a deep bite patient

• Kim SH
• Rhee YK
• Ko KH
• Huh YH
• Cho LR
• Park CJ

• KMID: 2377188
• DOI: http://doi.org/10.4047/jkap.2017.55.2.187

Abstract

Deep overbite patients who do not have proper occlusal relationship may cause problems such as teeth wear and antagonist extrusion. These lead to the collapse of occlusal plane and esthetic problem. Increasing vertical dimension is frequently essential to resolve those problems. This case report demonstrates a full-mouth rehabilitation for a patient with severe deep bite that contacts surface to surface by increasing vertical dimension. Treatment procedures included diagnosis, treatment planning, implant surgery, and prosthodontic rehabilitation. Satisfactory results were obtained in functional and esthetic aspects.

Keyword

Deep bite; Vertical dimension; Full mouth rehabilitation; Partial edentulism

MeSH Terms

Dental Occlusion
Diagnosis
Humans
Overbite*
Rehabilitation*
Tooth
Vertical Dimension

Figure

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  Fig. 1 Intraoral photographs. (A) Anterior dentition attrition, (B) #14,15 non-carious cervical lesion, (C) Anterior deep bite, (D) #23,24,25,26,27 missing, (E) #32=42 PFM bridge fracture.

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  Fig. 2 Preoperative panoramic radiograph.

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  Fig. 3 Diagnostic cast analysis. (A) Anterior dentition attrition (B) Reverse curve of Spee (C, D) Anterior deep bite (E) Mandibular occlusal view.

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  Fig. 4 Diagnostic wax-up. (A) Maxillary occlusal view, (B) Left lateral view at centric occlusion, (C) Frontal view at centric occlusion, (D) Right lateral view at centric occlusion, (E) Mandibular occlusal view.

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  Fig. 5 Die preparation. (A) Occlusal view (maxilla), (B) Occlusal view (mandible).

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  Fig. 6 Interocclusal relationship registrations using provisional restorations. (A) registration of provisional restoration, (B, C, D) registration of maxillary abutment, (E, F) registration of mandibular abutment.

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  Fig. 7 Implant customized abutment. (A) Implant axis (yellow line), (B) Customized abutment.

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  Fig. 8 Full contour wax-up cut back. (A) Occlusal view (maxilla), (B) Occlusal view (mandible).

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  Fig. 9 Gold coping try-in and porcelain build-up. (A) Gold coping, (B) Porcelain build-up.

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  Fig. 10 Remount procedure. (A) Anterior programming device, (B) Pick-up impression.

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  Fig. 11 Definitive prosthesis. (A) Working side during right lateral excursion, (B) Maxillary occlusal view, (C) Non-working side during right lateral excursion, (D) Left lateral view at centric occlusion, (E) Frontal view at centric occlusion, (F) Right lateral view at centric occlusion, (G) Non-working side during left lateral excursion, (H) Mandibular occlusal view, (I) Working side during left lateral excursion.

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  Fig. 12 Intraoral photographs. (A) #13 porcelain fracture, (B) #13 monolithic zirconia crown restoration.

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  Fig. 13 T-scan data. (A) Before occlusal adjustment, (B) After occlusal adjustment.

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