J Dent Rehabil Appl Sci.  2017 Sep;33(3):238-244. 10.14368/jdras.2017.33.3.238.

Full mouth rehabilitation with extremely worn dentition

• Cha HR
• Yeom KY
• Lee YS
• Kim NH

• KMID: 2394648
• DOI: http://doi.org/10.14368/jdras.2017.33.3.238

Abstract

Pathologic attrition leads to pathologic damage on occlusal plane, functional disorders, occlusal disharmony, esthetic problems, pulpal lesion, temporomandibular joint (TMJ) disorder. In this case, treatment plan should be considered for possibility of vertical dimension loss, occlusal pattern, esthetics, phonetics, amount of vertical dimension increase. This case report was a 71-year-old man who had severely worn dentition. Full mouth rehabilitation was carried out with vertical dimension increase due to limited space for prosthesis. After evaluation of provisional restorations for patient's compliance, final restorations were fabricated and routine clinical assessments were made. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition.

Keyword

tooth wear; vertical dimension; full mouth rehabilitation

MeSH Terms

Aged
Compliance
Dental Occlusion
Dentition*
Esthetics
Humans
Mouth Rehabilitation*
Mouth*
Phonetics
Prostheses and Implants
Temporomandibular Joint
Tooth Wear
Vertical Dimension

Figure

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  Fig. 1 Intraoral photograph before treatment. (A) Upper view, (B) Right view, (C) Frontal view, (D) Left view, (E) Lower view.

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  Fig. 2 Panoramic radiograph before treatment.

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  Fig. 3 Diagnostic waxup cast model.

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  Fig. 4 Provisional restoration. (A) Upper view, (B) Frontal view, (C) Lower view.

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  Fig. 5 (A) Tooth preparation, (B) Final impression taking, (C) Die preparation.

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  Fig. 6 (A) Full contour wax up, (B) Cut back, (C) Metal coping try in.

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  Fig. 7 Definitive prosthesis. (A) Upper view, (B) Frontal view, (C) Lower view.

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  Fig. 8 Panoramic radiograph after treatme

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  Fig. 9 Extraoral photograph. (A) Before treatment, frontal view, (B) After treatment, frontal view, (C) After treatment, smile.

Reference

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