J Korean Acad Prosthodont.  2018 Oct;56(4):360-367. 10.4047/jkap.2018.56.4.360.

A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

• Yun BS
• Kim JE
• Shim JS
• Kim JH

• KMID: 2424038
• DOI: http://doi.org/10.4047/jkap.2018.56.4.360

Abstract

Extensive dental erosion and wear will cause serious loss of function and aesthetics in the mouth. In order to recover this condition, careful analysis of the patient's bite relationship is required. In particular, a treatment plan should be established considering the possibility of reproduction of the vertical dimension and centric relation, and appropriateness of the occlusal plane and anterior guidance. Also, the choice of prosthetic materials is an important consideration in patients with severe wear. In this case, patients with overall wear and erosion on tooth was established anterior guidance by orthodontic treatment and fully restored with monolithic zirconia, without increasing vertical dimension.

Keyword

Tooth wear; Erosion; Vertical dimension; Full mouth rehabilitation; Monolithic zirconia; Anterior guidance

MeSH Terms

Centric Relation
Dental Occlusion
Esthetics
Humans
Mouth Rehabilitation*
Mouth*
Prostheses and Implants*
Reproduction
Tooth Erosion*
Tooth Wear
Tooth*
Vertical Dimension

Figure

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

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  Fig. 2. Panoramic radiograph before treatment.

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  Fig. 3. Model analysis. (A) Diagnostic model, (B) Diagnostic wax up with orthodontic setup.

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  Fig. 4. Evaluation of vertical dimension.

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  Fig. 5. Diagnostic wax up. (A) Right, (B) Frontal, (C) Left.

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  Fig. 6. Orthodontic allignment. (A) Before orthodontic treatment, (B) After orthodontic treatment.

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  Fig. 7. Intraoral photographs of provisional restoration. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

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  Fig. 8. Design of definitive prostheses using CAD/CAM system.

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  Fig. 9. Intraoral photographs of definitive prostheses. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

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  Fig. 10. Extraoral photographs after treatment. (A) Lateral view (right), (B) Frontal view, (C) Frontal with smile.

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