Oral Biol Res.  2022 Jun;46(2):91-98. 10.21851/obr.46.02.202206.91.

Full mouth rehabilitation of patient with decreased occlusal vertical dimension due to severely worn dentition and posterior bite collapse

• Lee SK

• KMID: 2530955
• DOI: http://doi.org/10.21851/obr.46.02.202206.91

Abstract

Pathologically progressive dental wear can cause dentin damage and pulp disease; it can even lead to tooth loss. The patient described herein, a 60-year-old male, had a decrease in vertical dimension due to severe abrasion of his remaining teeth and loss of his posterior teeth. The pattern of wear and its causes were evaluated, after which an appropriate vertical dimension and a repeatable centric relation position were considered. A full-mouth rehabilitation by increasing the vertical dimension was planned for the patient. His posterior bite support, wear history, facial features, interocclusal distance, and pronunciation were evaluated to determine the appropriate intermaxillary relationship and vertical elevation. Afterwards, full-mouth rehabilitation was completed using a monolithic zirconia prosthesis. The patient adapted well to the increased vertical dimension and the final prosthesis, had no complaints, and was aesthetically satisfied.

Keyword

Mouth rehabilitation; Tooth attrition; Vertical dimension