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J Korean Acad Prosthodont. 2016 Jul;54(3):306-313. Korean. Case Report. https://doi.org/10.4047/jkap.2016.54.3.306
Kim TS , Lee JH , Lee CW , Lee WS , Lee SY .
Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Republic of Korea. lsuyoung@daum.net
Abstract

Tooth wear is known as a normal physiological process which gradually progresses. It is reported that vertical dimension can be kept stable because amount of physiologically worn loss could be compensated by growth of alveolar bone and tooth eruption. However, excessive tooth wear as pathologic wear can cause pathologic pulp, disharmony with occlusal plane, functional disorders and esthetic problems so that full mouth rehabilitation could be needed in these cases. Recovery of function and esthetic improvement should be considered for alteration of the vertical dimension. Determination of the vertical dimension of occlusion is needed to be in harmony with the neuromuscular system. This clinical report describes 36 year-old female patient who had chief complaint of severely worn dentition and esthetic discomfort. An increase of 2.0 mm at maxillary incisal edge was done to restore vertical dimension. It was based on the degree of tooth wear and esthetics.

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