A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

Byoung Soo Yun; Jong Eun Kim; Jun Sung Shim; Jee Hwan Kim

doi:10.4047/jkap.2018.56.4.360

Journal List > J Korean Acad Prosthodont > v.56(4) > 1106331

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Yun, Kim, Shim, and Kim: A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

Case Report

J Korean Acad Prosthodont 2018;56(4):360-367.

Published online: NaN October 2018

DOI: https://doi.org/10.4047/jkap.2018.56.4.360

A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

Byoung Soo Yun, Jong Eun Kim, Jun Sung Shim, Jee Hwan Kim^∗

Department of Prosthodontics, School of Dentistry, Yonsei University, Seoul, Republic of Korea

∗Corresponding Author: Jee Hwan Kim Department of Prosthodontics, School of Dentistry, Yonsei University 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea +82 (0)2 2228 3161: e-mail, jee917@yuhs.ac

Received 17 July 20183 September 2018 Accepted 11 September 2018

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

Extensive dental erosion and wear will cause serious loss of function and aesthetics in the mouth. In order to recover this condition, careful analysis of the patient's bite relationship is required. In particular, a treatment plan should be established considering the possibility of reproduction of the vertical dimension and centric relation, and appropriateness of the occlusal plane and anterior guidance. Also, the choice of prosthetic materials is an important consideration in patients with severe wear. In this case, patients with overall wear and erosion on tooth was established anterior guidance by orthodontic treatment and fully restored with monolithic zirconia, without increasing vertical dimension. (J Korean Acad Prosthodont 2018;56:360-7)

Keywords: Tooth wear, Erosion, Vertical dimension, Full mouth rehabilitation, Monolithic zirconia, Anterior guidance

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Fig. 1.

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

Fig. 2.

Panoramic radiograph before treatment.

Fig. 3.

Model analysis. (A) Diagnostic model, (B) Diagnostic wax up with orthodontic setup.

Fig. 4.

Evaluation of vertical dimension.

Fig. 5.

Diagnostic wax up. (A) Right, (B) Frontal, (C) Left.

Fig. 6.

Orthodontic allignment. (A) Before orthodontic treatment, (B) After orthodontic treatment.

Fig. 7.

Intraoral photographs of provisional restoration. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

Fig. 8.

Design of definitive prostheses using CAD/CAM system.

Fig. 9.

Intraoral photographs of definitive prostheses. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

Fig. 10.

Extraoral photographs after treatment. (A) Lateral view (right), (B) Frontal view, (C) Frontal with smile.

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