Journal List > J Korean Acad Prosthodont > v.50(3) > 1034704

Oh, Chung, Kim, and Shim: Full mouth rehabilitation of the patient with worn dentition using full-contour monolithic zirconia prostheses at an increased vertical dimension of occlusion: a case report

Abstract

Excessive occlusal wear results in unacceptable damage to the occluding surfaces, and can cause pulpal injury, occlusal disharmony, impaired function, and aesthetic deformity. Patients with severely worn dentition need to be classified as several categories relative to the vertical dimension of occlusion (VDO) and the interocclusal distance for the prosthetic space. When treating patients classified as those who have excessive wear without loss of occlusal vertical dimension but with limited space, we could consider treating them at an increased vertical dimension of occlusion. Treatments at an increased vertical dimension of occlusion may provide stability, given that the amount of its increase was minimal, and a perfected occlusion was achieved after enough stabilization period. A 50-year-old male visited the department of Prosthodontics in Yonsei University Dental Hospital with the chief complaint of worn teeth on lower anterior area. Reconstruction at an increased vertical dimension of occlusion was planned. After the compatibility of the new vertical dimension of occlusion had been confirmed under interim fixed restorations, definitive fixed restorations composed of full-contour monolithic zirconia prostheses were placed. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition at an increased vertical dimension of occlusion with an improvement in esthetics and function.

Figures and Tables

Fig. 1
Initial intraoral photograph.
A: Frontal view, B: Frontal lower anterior view, C: Maxillary occlusal view, D: Right buccal view, E: Left buccal view.
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Fig. 2
Initial radiographs of the patient.
A: Panoramic radiograph, B: Periapical radiograph of lower anterior teeth.
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Fig. 3
Temporary prostheses using CAD/CAM system.
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Fig. 4
Intraoral photographs after the placement of definitive prostheses.
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