J Korean Acad Prosthodont.  2018 Jan;56(1):40-49. 10.4047/jkap.2018.56.1.40.

Functional and esthetic improvement through systematic diagnosis and treatment procedures in patient with unaesthetic anterior teeth proportion because of tooth wear: A case report

Affiliations
  • 1Department of Prosthodontics, School of Dentistry, Dankook University, Cheonan, Republic of Korea. ys997695@naver.com

Abstract

It is reported that the causes of unaesthetic proportion of anterior teeth vary widely. Especially, when the unaesthetic tooth proportion of the mandibular incisors arises due to the wear of the anterior teeth accompanied by the compensation of the alveolar bone, it may cause serious functional and aesthetic problems. In such case, it should be considered that the evaluation of vertical dimension and tooth proportion as well as smile line, soft tissue and hard tissue morphology. And, increase of vertical dimension or clinical crown lengthening followed by prosthodontic restorations is needed to improve the interdental mesial/distal, width/length ratio considering the anterior guidance. This case report demonstrates functional and aesthetic improvements through systematic diagnosis and treatment procedures in a 48-year-old male patient with unaesthetic anterior teeth proportion because of tooth wear accompanied by the compensation of alveolar bone and defect of several central incisors due to chronic periodontitis.

Keyword

Aesthetics; Vertical dimension; Crown lengthening; Anterior guidance; Diagnostic wax-up; Smile line

MeSH Terms

Chronic Periodontitis
Compensation and Redress
Crown Lengthening
Diagnosis*
Esthetics
Humans
Incisor
Male
Middle Aged
Tooth Wear*
Tooth*
Vertical Dimension
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