J Korean Acad Prosthodont.  2017 Apr;55(2):171-179. 10.4047/jkap.2017.55.2.171.

Full mouth rehabilitation with vertical dimension increase in patient with loss of anterior guidance due to maxillary anterior teeth wear: A case report

• Kim WG
• Yeom KY
• Lee YS

• KMID: 2377186
• DOI: http://doi.org/10.4047/jkap.2017.55.2.171

Abstract

Severely worn dentition is frequently multifactorial. It is crucial that the etiology of excessive wear be determined, but accurately diagnosing the factors responsible for tooth wear is often confusing. Before initiating the treatment of these cases, meticulous examination and determining vertical dimension are essential. A 69-year-old male patient had the chief complaint that he has worn dentition and functional and esthetic discomfort. Based on model analysis and diagnostic wax up, new vertical dimension had been determined. Provisional restorations were cemented and after 5 months permanent prostheses were fabricated. This case reports a satisfactory functional and esthetic clinical outcome achieved by restoring the vertical dimension.

Keyword

Tooth wear; Vertical dimension; Full mouth rehabilitation

MeSH Terms

Aged
Dentition
Humans
Male
Mouth Rehabilitation*
Mouth*
Prostheses and Implants
Tooth Wear
Tooth*
Vertical Dimension*

Figure

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  Fig. 1 Extraoral photograph before treatment. (A) Lateral view, (B) Frontal view.

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  Fig. 2 Intraoral photograph before treatment. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

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  Fig. 3 Panoramic radiograph before treatment.

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  Fig. 4 Diagnostic wax-up with an increase of 2.0 mm of incisal guide pin.

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  Fig. 5 Provisional prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

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  Fig. 6 Laboratary procedure. (A) Die preparation and mounting, (B) Full-contour wax up, (C) Metal coping fabrication.

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  Fig. 7 Final prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

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  Fig. 8 Panoramic radiograph after treatment.

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  Fig. 9 Extraoral photograph after treatment. (A) Lateral view (B) Frontal view (C) Smile view.

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