J Korean Acad Prosthodont.  2022 Jan;60(1):63-70. 10.4047/jkap.2022.60.1.63.

Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear

• Kim HT
• Kim MJ
• Lim YJ
• Kwon HB

• KMID: 2525036
• DOI: http://doi.org/10.4047/jkap.2022.60.1.63

Abstract

Teeth wear with loss of posterior support often leads to symptoms such as irregular occlusal plane and excessive wear of anterior teeth. In such environment, establishing proper posterior support and harmonious anterior guidance and occlusal plane is recommended. In this case, the patient had excessively worn dentition with loss of posterior support, while denying surgical treatment due to her(his) history of osteoporosis, ibandronate injection, and risk of medication-related osteonecrosis of the jaw (MRONJ). To recover the vertical space needed for prosthetic restoration, full mouth rehabilitation with vertical dimension increase of remaining teeth was decided. Missing teeth in the posterior area were restored with mandibular removable partial denture. The treatment plan was determined through careful diagnosis, and every step of procedures including tooth preparation, provisional phase with the increased vertical dimension, and definitive prosthetic phase were carried out accordingly. Once the treatment was completed, the patient was satisfied functionally and esthetically. Periodic examination of oral hygiene, occlusal stability was conducted.

Keyword

Full mouth rehabilitation; Tooth wear; Vertical dimension