J Korean Acad Prosthodont.  2019 Jan;57(1):49-56. 10.4047/jkap.2019.57.1.49.

Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition

• Kim SY
• Kim NH
• Yeom KY

• KMID: 2432002
• DOI: http://doi.org/10.4047/jkap.2019.57.1.49

Abstract

Generalized severely worn dentition causes occlusal disharmony, esthetic problems, and temporomandibular joint disorders. In order to solve these problems, it is necessary to make a precise analysis of vertical dimension and treatment plans considering it. This case report demonstrates the complete mouth rehabilitation of a 58-year-old male patient with a lot of worn teeth by increasing vertical dimension. Provisional restorations were cemented and after 4 months of evaluation for patient's compliance, permanent prostheses were fabricated. With these treatments, functionally and esthetically satisfactory results were obtained.

Keyword

Worn dentition; Vertical dimension; Complete mouth rehabilitation

MeSH Terms

Compliance
Dentition*
Humans
Male
Middle Aged
Mouth Rehabilitation*
Mouth*
Prostheses and Implants
Temporomandibular Joint Disorders
Tooth
Vertical Dimension*

Figure

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  Fig. 1 Extraoral photograph before treatment. (A) Frontal view, (B) Frontal view smile, (C) Lateral 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 TMJ series before treatment. (A) Rt. close, (B) Rt. opening, (C) Lt. opening, (D) Lt. close.

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  Fig. 5 Determining vertical dimension of occlusion. (A) Diagnostic cast, (B) Willis method.

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  Fig. 6 Diagnostic wax-up with an increase of 3 mm of incisal guide pin.

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

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  Fig. 8 (A) Tooth preparation, (B) Final impression taking, (C) Die preparation.

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  Fig. 9 (A) Full contour wax-up, (B) Cut back, (C) Metal coping fabrication.

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  Fig. 10 Final prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

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  Fig. 11 Panoramic radiograph after treatment.

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  Fig. 12 TMJ series after treatment. (A) Rt. close, (B) Rt. opening, (C) Lt. opening, (D) Lt. close.

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  Fig. 13 Extraoral photograph after treatment. (A) Frontal view, (B) Frontal view smile, (C) Lateral view.

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