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Woo-Hyung Jang
, Yu-Jin Jo, Hyun-Pil Lim, Kwi-Dug Yun, Sang-Won Park
, Yu-Jin Jo, Hyun-Pil Lim, Kwi-Dug Yun, Sang-Won Park
Abstract
The loss of posterior support and the abnormal jaw relation can cause pathologic findings. If deep bite patients with multiple missing teeth, can not have the stable posterior contact, the mandible moves posteriorly, and consequently the overjet and overbite get worse. And when the mandibular irregular occlusal plane is corrected, it is easier to have the bilateral balanced occlusion with the maxilla. So the treatment goal is to give proper posetrior support and establish appropriate anterior guidance, and ultimately provide improved mastication and esthetics recovery. In this case, a 68 year old man, having deep bite without posterior support was evaluated by the vertical dimesion decision flow-chart. An available prosthetic height, anterior occlusal relation such as overjet, overbite and the esthetic part such as facial height and the cephalometric analysis are the factors to be considered.
Figures and Tables
Fig. 1
Initial intraoral photographs. (A) Right lateral view, (B) Frontal view, (C) Left lateral view, (D) Maxillary occlusal view, (E) Mandibular occlusal view.
Fig. 3
Diagnostic wax up model with new occlusal vertical dimension. (A) Right lateral view, (B) Frontal view, (C) Left lateral view.
Fig. 5
Cephalometric analysis (A) Lateral Cephalography (B) Comparison of the cephalometric analysis on the patient and the male.
Fig. 6
Provisional restoration. (A) Right lateral view, (B) Frontal view, (C) Left lateral view, (D) Maxillary occlusal view, (E) Mandibular occlusal view.
Fig. 7
Definitive restoration. (A) Right lateral view, (B) Frontal view, (C) Left lateral view, (D) Maxillary occlusal view, (E) Mandibular occlusal view.
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