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

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

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)

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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.
jkap-54-306f1.tif
Fig. 2.
(A) Frontal view of facial photograph before treatment, (B) Panoramic radiograph before treatment.
jkap-54-306f2.tif
Fig. 3.
(A) Measurement of worn loss, (B) Mounted diagnostic model, (C) An increase of 2.0 mm in vertical dimension.
jkap-54-306f3.tif
Fig. 4.
Diagnostic wax up. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.
jkap-54-306f4.tif
Fig. 5.
(A) 1st provisional restoration with guideline for modification, (B) 2nd provisional restoration after gingivoplasty, (C) Customized incisal guide table.
jkap-54-306f5.tif
Fig. 6.
Bisque bake crown after occlusal adjustment. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.
jkap-54-306f6.tif
Fig. 7.
Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.
jkap-54-306f7.tif
Fig. 8.
After treatment state. (A) Frontal view of facial photograph, (B) Panoramic radiograph.
jkap-54-306f8.tif
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