Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition

Sung-Yong Kim; Na-Hong Kim; Kyeong-Yeon Yeom

doi:10.4047/jkap.2019.57.1.49

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Kim, Kim, and Yeom: Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition

Case Report

The Journal of Korean Academy of Prosthodontics 2019; 57(1): 49-56.

Published online: 22 January 2019

DOI: https://doi.org/10.4047/jkap.2019.57.1.49

Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition

Sung-Yong Kim

, Na-Hong Kim

, Kyeong-Yeon Yeom

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

Corresponding Author: Kyeong-Yeon Yeom. Department of Prosthodontic Dentistry, Veterans Health Service Medical Center 53, Jinhwangdo-ro 61gil, Gangdong-gu, Seoul 05368, Republic of Korea. +82 (0)2 2225 1926: ilovedua@naver.com

Received 14 August 2018 Revised 4 September 2018 Accepted 8 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/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Generalized severely worn dentition causes occlusal disharmony, esthetic problems, and temporomandibular joint disorders. In order to solve these problems, it is necessary to make a precise analysis of vertical dimension and treatment plans considering it. This case report demonstrates the complete mouth rehabilitation of a 58-year-old male patient with a lot of worn teeth by increasing vertical dimension. Provisional restorations were cemented and after 4 months of evaluation for patient's compliance, permanent prostheses were fabricated. With these treatments, functionally and esthetically satisfactory results were obtained.

Keywords: Worn dentition, Vertical dimension, Complete mouth rehabilitation

Figures and Tables

Fig. 1

Extraoral photograph before treatment. (A) Frontal view, (B) Frontal view smile, (C) Lateral view.

Fig. 2

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

Fig. 3

Panoramic radiograph before treatment.

Fig. 4

TMJ series before treatment. (A) Rt. close, (B) Rt. opening, (C) Lt. opening, (D) Lt. close.

Fig. 5

Determining vertical dimension of occlusion. (A) Diagnostic cast, (B) Willis method.

Fig. 6

Diagnostic wax-up with an increase of 3 mm of incisal guide pin.

Fig. 7

Provisional restoration. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

Fig. 8

(A) Tooth preparation, (B) Final impression taking, (C) Die preparation.

Fig. 9

(A) Full contour wax-up, (B) Cut back, (C) Metal coping fabrication.

Fig. 10

Final prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

Fig. 11

Panoramic radiograph after treatment.

Fig. 12

TMJ series after treatment. (A) Rt. close, (B) Rt. opening, (C) Lt. opening, (D) Lt. close.

Fig. 13

Extraoral photograph after treatment. (A) Frontal view, (B) Frontal view smile, (C) Lateral view.

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ORCID iDs

Sung-Yong Kim
https://orcid.org/0000-0002-0926-2862

Na-Hong Kim
https://orcid.org/0000-0002-0747-3770

Kyeong-Yeon Yeom
https://orcid.org/0000-0001-5273-0492

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