Journal List > J Korean Acad Prosthodont > v.53(3) > 1034828

Lee, Kim, Jung, and Kim: Mouth rehabilitation of a patient with severely worn dentition with vertical dimension increase

Abstract

Treating patients with severely worn dentition often requires comprehensive prosthetic treatments. Oral rehabilitation and long-term stability could be achieved by analyzing the cause of the wear and changing vertical dimension. The temporary restoration procedure is executed and patient's adaptation is evaluated by long-term observation when treatment is accompanied with increasing vertical dimension. In this case, 54 year-old male presented with worn dentition and esthetic dissatisfaction. In oral manifestations, severely worn dentition with attrition and erosion is diagnosed. To evaluate change of vertical dimension, interocclusal rest space, facial appearance, pronunciation, clinical crown length, distance from incisor edge to labial vestibule are evaluated. Consequently, 2.5 mm increase of vertical dimension that based on articulator incisal pin is determined. After 8 weeks stabilization period with temporary prostheses, definitive prostheses are fabricated. After 6 months follow up period, satisfactory outcomes were achieved both in functional and esthetic aspects through this procedure.

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Fig. 1.
Initial intraoral view. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.
jkap-53-215f1.tif
Fig. 2.
Diagnostic wax up. (A) Frontal view, (B) Maxillary occlusal view, (C) Mandibular occlusal view.
jkap-53-215f2.tif
Fig. 3.
(A) Temporary prostheses, (B) Maxillary teeth preparation, (C) Customized anterior guidance table.
jkap-53-215f3.tif
Fig. 4.
(A) Mandibular teeth preparation, (B) Anterior jig and centric relation determination, (C) Lower full contour waxup.
jkap-53-215f4.tif
Fig. 5.
Definitive prostheses. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.
jkap-53-215f5.tif
Fig. 6.
(A) Radiographic finding after the placement of definitive prostheses, (B) Facial photograph after treatment.
jkap-53-215f6.tif
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