J Korean Acad Prosthodont.  2020 Apr;58(2):121-129. 10.4047/jkap.2020.58.2.121.

Oral rehabilitation of excessive tooth wear patient usingzirconia fixed prosthesis with increased vertical dimension

• Jang JH
• Choi YJ
• Ryu JJ

• KMID: 2500024
• DOI: http://doi.org/10.4047/jkap.2020.58.2.121

Abstract

From the point of view of oral rehabilitation, the treatment of extensive tooth wear requires a prosthetic approach. Physiological tooth wear is considered as a normal process and generally does not require treatment, but excessive tooth wear causes problems like inadequate occlusion and esthetics. Changes of occlusal vertical dimension should be made through accurate diagnosis and analysis. Also, the patient’s adaptation to the changed occlusal vertical dimension should be assessed over time. This case was a 60-year-old male patient who complained of a decrease in chewing function and esthetics due to severe tooth wear. Full-mouth rehabilitation was performed with a tooth supported fixed prosthesis. An occlusal stabilization splint and provisional restoration were used to evaluate the adaptation to increased occlusal vertical dimension and induce a stable centric relation position. After that, monolithic zirconia prosthesis was delivered. We report this as a satisfactory functional recovery and esthetics. (J Korean Acad Prosthodont 2020;58:121-9)

Keyword

Occlusal vertical dimension; Oral rehabilitation; Tooth wear