J Korean Acad Prosthodont.  2025 Apr;63(2):154-163. 10.4047/jkap.2025.63.2.154.

Full mouth rehabilitation of patient with excessively worn dentition from multiple factors: a case report

Affiliations
  • 1Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea

Abstract

Excessive wear of the teeth, which causes functional, aesthetic problems, or sensitivity symptoms, is referred to as pathological wear. If this leads to the collapse of occlusion, extensive restoration is necessary to restore function and aesthetics. When restoring pathologically worn dentition, it is essential to identify the cause of the wear before determining treatment plan to get a favorable prognosis. In this case, a patient exhibited severe tooth wear with decreased vertical dimension and clinical, radiographic examination, and medical history indicated the pathological wear caused by a combination of factors. Consequently, full-mouth rehabilitation was indicated and the vertical occlusal height was determined considering the appropriate restorative space. Based on the causes of the wear, the restoration method, materials, and occlusal pattern were selected and successfully restored to normal occlusal state through full-mouth rehabilitation with zirconia full-veneered crowns.

Keyword

Acid; Tooth wear; Vertical dimension; Zirconium oxide
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