Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition

Eun-Young Shim; Na-Young Lee; Jeong-Kyung Kang

doi:10.4047/jkap.2018.56.4.347

Journal List > J Korean Acad Prosthodont > v.56(4) > 1106329

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Shim, Lee, and Kang: Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition

Case Report

The Journal of Korean Academy of Prosthodontics 2018; 56(4): 347-353.

Published online: 30 October 2018

DOI: https://doi.org/10.4047/jkap.2018.56.4.347

Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition

Eun-Young Shim

, Na-Young Lee, Jeong-Kyung Kang

Department of Prosthodontic Dentistry, Veterans Health Service Medical Center, Seoul, Republic of Korea.

Corresponding Author: Jeong-Kyung Kang. Department of Prosthodontics, Veterans Health Service Medical Center, 53 Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul 05368, Republic of Korea. +82 (0)2 2225 1658, jkkang76@hanmail.net

Received 12 July 2018 Revised 28 August 2018 Accepted 13 September 2018

The Korean Academy of Prosthodontics

(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

Gradual attrition is a normal process of aging, but severe attrition causes occlusal disharmony, functional disorder and esthetic problems. The collapse of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). And it induces the pathologic change of the TMJ, unaesthetic facial appearance and decreased masticatory function. In this case, 70 year-old male presented with decreased vertical dimension and esthetic problems due to worn dentition. Based on assessment of intraoral findings, diagnostic cast and radiographic examination, full-mouth rehabilitation with increase of OVD was planned. After 10 month follow-up, occlusal stability is maintained and through this procedure, satisfactory outcomes were achieved in esthetic and functional aspects.

Keywords: Tooth wear, Full mouth rehabilitation, Occlusal vertical dimension

Figures and Tables

Fig. 1

Intraoral photograph before treatment. (A) Upper view, (B) Right side view, (C) Frontal view, (D) Left side view, (E) Lower view.

Fig. 2

(A) Panoramic radiograph before treatment, (B) Cephalometric radiograph before treatment, (C) TMJ series before treatment.

Fig. 3

Diagnostic wax-up cast model.

Fig. 4

Provisional restorations. (A) Upper view, (B) Frontal view, (C) Lower view.

Fig. 5

(A, D) Tooth preparation, (B, E) Final impression, (C, F) interocclusal relationship registrations using provisional restorations.

Fig. 6

Customized anterior guidance table.

Fig. 7

(A) Full contour wax up, (B) Cut back.

Fig. 8

Porcelain fused to metal crown delivery.

Fig. 9

Maxillary removable partial denture fabrication. (A) impression, (B) framework, (C) wax denture.

Fig. 10

Definitive prosthesis. (A) Upper view, (B) Right side view, (C) Frontal view, (D) Left side view, (E) Right working, (F) Lower view, (G) Left working.

Fig. 11

Panoramic radiograph after treatment.

References

1. Ibbetson RJ, Setchell DJ. Treatment of the worn dentition: 2. Dent Update. 1989; 16:300–302. 305–307.

2. Hemmings KW, Howlett JA, Woodley NJ, Griffiths BM. Partial dentures for patients with advanced tooth wear. Dent Update. 1995; 22:52–59.

3. Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent. 1984; 52:467–474.

4. Briggs P, Bishop K. Fixed prostheses in the treatment of tooth wear. Eur J Prosthodont Restor Dent. 1997; 5:175–180.

5. Willis FM. Features of the face involved in full denture prosthesis. Dental Cosmos. 1935; 77:851–854.

6. Dawson PE. Functional occlusion: From TMJ to smile design. St. Louis; MO: Elsevier Health Sciences;2006.

7. Tench RW. Dangers in dental reconstruction in-volving increase of the vertical dimension of the lower third of the human face. J Am Dent Assoc. 1938; 25:566–570.

8. Monteith B. The role of the free-way space in the generation of muscle pain among denture-wearers. J Oral Rehabil. 1984; 11:483–498.

9. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent. 1979; 41:284–289.

10. Abduo J. Safety of increasing vertical dimension of occlusion: a systematic review. Quintessence Int. 2012; 43:369–380.

11. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J. 2012; 57:2–10.

12. DiPietro GJ. A study of occlusion as related to the Frankfortmandibular plane angle. J Prosthet Dent. 1977; 38:452–458.

TOOLS

ORCID iDs

Eun-Young Shim
https://orcid.org/0000-0002-4508-6798

Jeong-Kyung Kang
https://orcid.org/0000-0003-0017-3553

Similar articles