J Korean Acad Prosthodont.  2016 Jul;54(3):306-313. 10.4047/jkap.2016.54.3.306.

Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

• Kim TS
• Lee JH
• Lee CW
• Lee WS
• Lee SY

• KMID: 2344872
• DOI: http://doi.org/10.4047/jkap.2016.54.3.306

Abstract

Tooth wear is known as a normal physiological process which gradually progresses. It is reported that vertical dimension can be kept stable because amount of physiologically worn loss could be compensated by growth of alveolar bone and tooth eruption. However, excessive tooth wear as pathologic wear can cause pathologic pulp, disharmony with occlusal plane, functional disorders and esthetic problems so that full mouth rehabilitation could be needed in these cases. Recovery of function and esthetic improvement should be considered for alteration of the vertical dimension. Determination of the vertical dimension of occlusion is needed to be in harmony with the neuromuscular system. This clinical report describes 36 year-old female patient who had chief complaint of severely worn dentition and esthetic discomfort. An increase of 2.0 mm at maxillary incisal edge was done to restore vertical dimension. It was based on the degree of tooth wear and esthetics.

Keyword

Tooth wear; Vertical dimension; Full mouth rehabilitation; All ceramic restorations

MeSH Terms

Ceramics*
Dental Occlusion
Dentition
Esthetics
Female
Humans
Mouth Rehabilitation
Physiological Processes
Recovery of Function
Rehabilitation*
Tooth Eruption
Tooth Wear*
Tooth*
Vertical Dimension

Figure

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  Fig. 1. Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 2. (A) Frontal view of facial photograph before treatment, (B) Panoramic radiograph before treatment.

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  Fig. 3. (A) Measurement of worn loss, (B) Mounted diagnostic model, (C) An increase of 2.0 mm in vertical dimension.

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  Fig. 4. Diagnostic wax up. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

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  Fig. 5. (A) 1st provisional restoration with guideline for modification, (B) 2nd provisional restoration after gingivoplasty, (C) Customized incisal guide table.

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  Fig. 6. Bisque bake crown after occlusal adjustment. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

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  Fig. 7. Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 8. After treatment state. (A) Frontal view of facial photograph, (B) Panoramic radiograph.

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