J Korean Acad Prosthodont.  2019 Oct;57(4):405-415. 10.4047/jkap.2019.57.4.405.

Full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear

Affiliations
  • 1Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University, Jeonju, Republic of Korea. jmseo@jbnu.ac.kr

Abstract

Excessive tooth wear can cause irreversible damage to the occlusal surface and can alter the anterior occlusal relationship by destroying the structure of the anterior teeth needed for esthetics and proper anterior guidance. The anterior deep bite is not a morbid occlusion by itself, but it may cause problems such as soft tissue trauma, opposing tooth eruption, tooth wear, and occlusal trauma if there are no stable occlusal contacts between the lower incisal edge against its upper lingual surface. The most important goal of treatment is to form stable occlusal contact in centric relation. In this case report, patients with decrease in vertical dimension and anterior deep bite due to maxillary posterior tooth loss and excessive tooth wear were treated full mouth rehabilitation with increased vertical dimension to regain the space for restoration and improve anterior occlusal relationship and esthetics. The functional and aesthetic problems of the patient could be solved by the equal intensity contact of all the teeth in centic relation (CR), anterior guidance in harmony with the functional movement, and restoration of the wear surface beyond the enamel range.

Keyword

Tooth wear; Vertical dimension; Deep bite; Full mouth rehabilitation

MeSH Terms

Centric Relation
Dental Enamel
Esthetics
Humans
Mouth Rehabilitation*
Mouth*
Overbite*
Tooth Eruption
Tooth Loss
Tooth Wear*
Tooth*
Vertical Dimension*
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