J Korean Acad Prosthodont.  2018 Jan;56(1):31-39. 10.4047/jkap.2018.56.1.31.

A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear

Affiliations
  • 1Department of Prosthodontics, Veterans Health Service Medical Center, Seoul, Republic of Korea. 2nysnow@gmail.com

Abstract

The collapse of the posterior occlusion destroys the normal occlusal plane and causes excessive wear reducing the vertical dimension. Reduced vertical dimension of occlusion causes not only aesthetic and functional problems but also overloading on the temporomandibular joints and abnormalities of muscle nerve system. In order to improve the collapsed occlusal relationship, it is necessary to consider the change of the vertical dimension. It is necessary to make a precise diagnosis and analysis before the treatment and to evaluate the adaption of patient to the new vertical dimension of occlusion. A patient with excessive overbite often has occlusal problems of tooth wear and tooth eruption. Considering these considerations, overall prosthodontic restoration is required to solve the problem. A patient of 68 year old man in this case who suffered major tooth wear and maxillary posterior teeth loss was treated with elevation of vertical dimension of occlusion by maxillary removable dental prosthesis and mandibular fixed prosthesis.

Keyword

Deep bite; Partially edentulous patient (partial edentulism); Removable dental prostheses; Full mouth rehabilitation
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