Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report

So-Mi Chung; Hyeong-Seob Kim; Kung-Rock Kwon

doi:10.4047/jkap.2012.50.4.305

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Chung, Kim, and Kwon: Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report

Case Report

The Journal of Korean Academy of Prosthodontics

The Journal of Korean Academy of Prosthodontics 2012; 50(4): 305-310.

Published online: 30 October 2012

DOI: https://doi.org/10.4047/jkap.2012.50.4.305

Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report

So-Mi Chung, DMD, Hyeong-Seob Kim, DMD, MSD, PhD, Kung-Rock Kwon, DMD, MSD, PhD

Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea.

Corresponding Author: Kung-Rock Kwon. Department of Prosthodontics, School of Dentistry, Kyung Hee University, Hoegi-Dong 1, Dongdaemun-Gu, Seoul, 130-701, Korea. +82 2 958 9340: krkwon@khu.ac.kr

Received 1 September 2012 Revised 5 October 2012 Accepted 12 October 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

It is a great challenge for dentists to do prosthetic restorations of a patient with reduced occlusal vertical dimension (OVD). Proper determination of the OVD is significant. An 85-year-old male patient came in with missing right maxillary posterior teeth. After diagnostic wax-up, reversible provisional prostheses were used to evaluate the new OVD in the maxilla and mandible. After that, the patient was evaluated clinically based on the criteria of esthetic, phonetic, and OVD. After 8 weeks, teeth with excessive wear were treated with root canal therapy and fiber post and core and irreversible provisional prostheses were done. After 8 weeks of observation period, final restorations with fixed partial dentures and removable partial dentures were made. Throughout the follow-up period of 6 months, no symptoms related with increased OVD and mechanical complications were observed.

Keywords: Full-mouth rehabilitation, Occlusal vertical dimension (OVD)

Figures and Tables

Fig. 1

Intraoral photographs before treatment (A) Maxillary occlusal view (B) Frontal view (C) Mandibular occlusal view (D) Old mandibular removable partial denture.

Fig. 2

Panoramic radiograph before treatment.

Fig. 3

Facial photographs before treatment (A) Lateral view (B) Frontal view.

Fig. 4

First provisional prostheses (A) A diagnostic wax-up (B) Frontal view.

Fig. 5

Secondary provisional prostheses.

Fig. 6

Definitive prostheses (A, D) Maxillary occlusal view (B, E) Frontal view (C, F) Mandibular occlusal view.

Fig. 7

Facial photographs after treatment (A, B) Frontal view (C) Lateral view.

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