Oral rehabilitation of a patient with severely worn dentition using monolithic zirconia

Jun-Seo Park; Jae-Jun Ryu

doi:10.4047/jkap.2016.54.3.273

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Park and Ryu: Oral rehabilitation of a patient with severely worn dentition using monolithic zirconia

CASE REPORT

J Korean Acad Prosthodont 2016;54(3):273-279.

Published online: 18 December 2016

DOI: https://doi.org/10.4047/jkap.2016.54.3.273

Oral rehabilitation of a patient with severely worn dentition using monolithic zirconia

Jun-Seo Park, Jae-Jun Ryu^∗

Division of Prosthodontics, Department of Dentistry, Anam Hospital, Korea University, Seoul, Republic of Korea

∗Corresponding Author: Jae-Jun Ryu Division of Prosthodontics, Department of Dentistry, Anam Hospital, Korea University, 73 Inchon-ro, Seongbuk-gu, Seoul 02841, Republic of Korea +82 (0)2 920 5423: e-mail, koprosth@unitel.co.kr

Received 8 October 201524 November 2015 Accepted 16 December 2015

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

Severe tooth wear may lead to pathological changes of pulp, imbalance in occlusion as well as functional and esthetic problems. In this case, 34-year-old male came to the hospital because of generally worn dentition due to attrition and erosion. After evaluation, a full mouth restoration with elevation of the vertical dimension of occlusion was planned. After occlusion was stabilized by an occlusal stabilization appliance, centric relation position was recorded and subsequent provisional restorations were fabricated. After evaluation, a CAD-CAM (computer aided design-computer aided manufacturing) prosthetic restoration was carried out using monolithic zirconia. After 12 months of follow up observation, the patient was satisfied with function and esthetic appearance. (J Korean Acad Prosthodont 2016;54:273-9)

Keywords: Oral rehabilitation, Monolithic zirconia, Bruxism, Erosion

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Fig. 1.

Initial intra-oral photographs. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

Fig. 2.

Initial panoramic radiographic image.

Fig. 3.

Initial TMJ series. (A) Right side on closed state, (B) Right side on opened state, (C) Left side on closed state, (D) Left side on opened state.

Fig. 4.

Facial analysis. (A) Frontal view, (B) Lateral view.

Fig. 5.

Diagnostic wax up. (A) Frontal view, (B) Maxillary occlusal view, (C) Mandibular occlusal view.

Fig. 6.

Provisional restoration delivery. (A) Frontal view, (B) Maxillary occlusal view, (C) Mandibular occlusal view.

Fig. 7.

(A) Full contour wax up on master cast. (B) Monolithic zirconia crown on master cast.

Fig. 8.

Final prostheses with monolithic zirconia crown. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

Fig. 9.

Analysis of smile line.

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