J Korean Acad Prosthodont.  2018 Oct;56(4):347-353. 10.4047/jkap.2018.56.4.347.

Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition

• Shim EY
• Lee NY
• Kang JK

• KMID: 2424036
• DOI: http://doi.org/10.4047/jkap.2018.56.4.347

Abstract

Gradual attrition is a normal process of aging, but severe attrition causes occlusal disharmony, functional disorder and esthetic problems. The collapse of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). And it induces the pathologic change of the TMJ, unaesthetic facial appearance and decreased masticatory function. In this case, 70 year-old male presented with decreased vertical dimension and esthetic problems due to worn dentition. Based on assessment of intraoral findings, diagnostic cast and radiographic examination, full-mouth rehabilitation with increase of OVD was planned. After 10 month follow-up, occlusal stability is maintained and through this procedure, satisfactory outcomes were achieved in esthetic and functional aspects.

Keyword

Tooth wear; Full mouth rehabilitation; Occlusal vertical dimension

MeSH Terms

Aging
Dentition*
Denture, Partial, Removable*
Follow-Up Studies
Humans
Male
Mouth Rehabilitation*
Mouth*
Rehabilitation
Temporomandibular Joint
Tooth
Tooth Wear
Vertical Dimension*

Figure

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

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  Fig. 2 (A) Panoramic radiograph before treatment, (B) Cephalometric radiograph before treatment, (C) TMJ series before treatment.

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  Fig. 3 Diagnostic wax-up cast model.

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

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  Fig. 5 (A, D) Tooth preparation, (B, E) Final impression, (C, F) interocclusal relationship registrations using provisional restorations.

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  Fig. 6 Customized anterior guidance table.

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  Fig. 7 (A) Full contour wax up, (B) Cut back.

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  Fig. 8 Porcelain fused to metal crown delivery.

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  Fig. 9 Maxillary removable partial denture fabrication. (A) impression, (B) framework, (C) wax denture.

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  Fig. 10 Definitive prosthesis. (A) Upper view, (B) Right side view, (C) Frontal view, (D) Left side view, (E) Right working, (F) Lower view, (G) Left working.

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  Fig. 11 Panoramic radiograph after treatment.

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