Full-mouth rehabilitation in a patient with inclined occlusal plane and reduced vertical dimension by an attrition: A case report

Ha-Rim Lee; Jae-Hoon Kim; Eun-Sun Jang; Gyeong-Je Lee

doi:10.4047/jkap.2019.57.2.182

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Lee, Kim, Jang, and Lee: Full-mouth rehabilitation in a patient with inclined occlusal plane and reduced vertical dimension by an attrition: A case report

Case Report

The Journal of Korean Academy of Prosthodontics 2019; 57(2): 182-188.

Published online: 25 April 2019

DOI: https://doi.org/10.4047/jkap.2019.57.2.182

Full-mouth rehabilitation in a patient with inclined occlusal plane and reduced vertical dimension by an attrition: A case report

Ha-Rim Lee

, Jae-Hoon Kim

, Eun-Sun Jang

, Gyeong-Je Lee

Department of Prosthodontics, School of Dentistry, Chosun University, Gwangju, Republic of Korea.

Corresponding Author: Gyeong-Je Lee. Department of Prosthodontics, School of Dentistry, Chosun University 303, Pilmun-daero, Dong-gu, Gwangju 61452, Republic of Korea. +82 (0)62 220 3827: lkj1998@chosun.ac.kr

Received 28 November 2018 Revised 27 February 2019 Accepted 15 March 2019

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

A proper vertical dimension and a harmonious occlusal plane are essential to satisfy a patient esthetically and functionally. A maxillomandibular occlusal vertical dimension is determined by the elevators which repeatedly contracts to a certain length, and a tooth location is determined by a maxillomandibular vertical dimension. The patient of this case came in with the incongruity of the lips and the occlusal plane. The result of clinical test showed the lack of length of the lower anterior due to the reduction of vertical dimension, the deep overbite of anterior, the excessive attrition of anterior, and the incongruity of occlusal plane. After the diagnostic wax-up, the temporary restoration was installed, and final prosthesis was installed after 6 months. As a result, the patient obtained a functionally and esthetically satisfying result.

Keywords: Full mouth rehabilitation, Deep overbite, Occlusal plane, Vertical dimension

Figures and Tables

Fig. 1

Intraoral photograph before treatment. An inclined occlusal plane on the frontal view, a midline canting of maxillary central incisors, and attrition of PFM crowns were observed.

Fig. 2

Panoramic radiograph before the treatment.

Fig. 3

Facial photograph before the treatment. Remarkable inclined occlusal plane on the frontal view was observed. (I) Interpupillary line, (O) Frontal view of occlusal plane, (H) Horizontal plane which parallel to interpupillary line, (M) Midline which parallel to vertical line.

Fig. 4

Condylar guidance angle adjustment by check-bite method. (A, D) Right lateral movement, (B, E) Protrusive movement, (C, F) Left lateral movement.

Fig. 5

Diagnostic wax-up model. (A) Diagnostic model, (B) Diagnostic wax-up.

Fig. 6

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

Fig. 7

Facial photograph with ARCUS Digma.

Fig. 8

Final prosthesis. (A) Right, (B) Frontal, (C) Left.

Fig. 9

Panoramic radiograph after treatment.

Fig. 10

Facial photograph after treatment. (I) Interpupillary line, (O) Frontal view of occlusal plane, (M) Midline which parallel to vertical line.

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ORCID iDs

Ha-Rim Lee
https://orcid.org/0000-0002-3501-3472

Jae-Hoon Kim
https://orcid.org/0000-0002-2807-6707

Eun-Sun Jang
https://orcid.org/0000-0002-2596-2551

Gyeong-Je Lee
https://orcid.org/0000-0002-3545-2280

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