Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

Tae Su Kim; Jae Hyun Lee; Chul Won Lee; Won Sup Lee; Su Young Lee

doi:10.4047/jkap.2016.54.3.306

Journal List > J Korean Acad Prosthodont > v.54(3) > 1034888

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Kim, Lee, Lee, Lee, and Lee: Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

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J Korean Acad Prosthodont 2016;54(3):306-313.

Published online: 18 December 2016

DOI: https://doi.org/10.4047/jkap.2016.54.3.306

Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

Tae Su Kim, Jae Hyun Lee, Chul Won Lee, Won Sup Lee, Su Young Lee^∗

Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Republic of Korea

∗Corresponding Author: Su Young Lee Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea +82 (0)2 2258 6309: e-mail, lsuyoung@daum.net

Received 12 February 201611 April 2016 Accepted 12 April 2016

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

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. (J Korean Acad Prosthodont 2016;54:306-13)

Keywords: Tooth wear, Vertical dimension, Full mouth rehabilitation, All ceramic restorations

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Fig. 1.

Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

Fig. 2.

(A) Frontal view of facial photograph before treatment, (B) Panoramic radiograph before treatment.

Fig. 3.

(A) Measurement of worn loss, (B) Mounted diagnostic model, (C) An increase of 2.0 mm in vertical dimension.

Fig. 4.

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

Fig. 5.

(A) 1^st provisional restoration with guideline for modification, (B) 2^nd provisional restoration after gingivoplasty, (C) Customized incisal guide table.

Fig. 6.

Bisque bake crown after occlusal adjustment. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

Fig. 7.

Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

Fig. 8.

After treatment state. (A) Frontal view of facial photograph, (B) Panoramic radiograph.

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