J Korean Acad Prosthodont.  2021 Oct;59(4):431-441. 10.4047/jkap.2021.59.4.431.

Full-mouth rehabilitation with increasing minimum vertical dimension in the patient with severely worn dentition and deep bite

• Lee KS
• Park JM
• Ahn SG
• Seo JM
• Han CH
• Lee JJ

• KMID: 2521837
• DOI: http://doi.org/10.4047/jkap.2021.59.4.431

Abstract

Full-mouth rehabilitation with increasing vertical dimension can be used for patients with severely worn teeth. In severely worn teeth also, the alveolar process can be elongated to compensate for the reduced vertical dimension, and the patient’s vertical dimension of occlusion can be kept constant. However, full-mouth rehabilitation with increasing vertical dimension must be carefully chosen, because the vertical dimension can be reduced by tooth wear. It is important to establish a treatment plan with the systematic diagnosis of the change in the vertical dimension and gain space for the prosthesis. It is necessary to change the vertical dimension to secure the restoration space and select the minimum vertical dimension elevation for the esthetic and functional goal. In this case report, the patient complained of difficulty during chewing due to a worn dentition and wanted esthetic improvement of the short mandibular anterior teeth. After systematic evaluation and diagnosis, we performed full-mouth rehabilitation with minimum vertical dimension elevation to obtain the space for restoration. This resulted in a stable and harmonious occlusion, and the functional and esthetic problems of the patient were solved after treatment. The patient was satisfied with the results of the treatment and maintained stable occlusion during the follow-up period.

Keyword

Deep bite; Full-mouth rehabilitation; Tooth wear; Vertical dimension of occlusion