J Korean Acad Prosthodont.  2018 Oct;56(4):302-307. 10.4047/jkap.2018.56.4.302.

Full mouth rehabilitation of the patient with severe tooth loss and tooth wear with vertical dimension gaining: A case report

• Jo YJ
• Jung S
• Yang HS
• Park SW
• Lim HP
• Yun KD
• Park C

• KMID: 2424030
• DOI: http://doi.org/10.4047/jkap.2018.56.4.302

Abstract

Multiple tooth loss and excessive occlusal wear can result in damage to occlusal disharmony, functional disorders and esthetic problems, requiring comprehensive prosthetic treatments. Changing vertical dimension harmonized with surrounding muscle tissue is important. In this case, the patient with loss of vertical dimension caused by severe tooth loss and tooth wear was treated with the analysis of vertical dimension, such as diagnostic model, radiography and various clinical exams. the patient was satisfied with favorable functions and esthetics for 1 years of follow-up.

Keyword

Tooth wear; Monolithic zirconia; Occlusal vertical dimension; Full mouth rehabilitation

MeSH Terms

Esthetics
Follow-Up Studies
Humans
Mouth Rehabilitation*
Mouth*
Radiography
Tooth Attrition
Tooth Loss*
Tooth Wear*
Tooth*
Vertical Dimension*

Figure

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  Fig. 1 Initial intraoral photographs. (A) Right lateral view, (B) Frontal view, (C) Left lateral view, (D) Maxillary occlusal view, (E) Mandibular occlusal view.

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  Fig. 2 Initial panoramic radiograph.

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  Fig. 3 Diagnostic wax up model with new occlusal vertical dimension. (A) Right lateral view, (B) Frontal view, (C) Left lateral view.

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  Fig. 4 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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  Fig. 5 Panoramic radiograph after treatment.

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