Full‐Mouth Rehabilitation of a Patient with Severely Worn Dentition and Uneven Occlusal Plane: A Clinical Report
Identifieur interne : 003A86 ( Main/Exploration ); précédent : 003A85; suivant : 003A87Full‐Mouth Rehabilitation of a Patient with Severely Worn Dentition and Uneven Occlusal Plane: A Clinical Report
Auteurs : Elnaz Moslehifard [Iran] ; Sakineh Nikzad [Iran] ; Farideh Geraminpanah [Iran] ; Farhang Mahboub [Iran]Source :
- Journal of Prosthodontics [ 1059-941X ] ; 2012-01.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Couronnes, Dimension verticale, Gencive (transplantation), Humains, Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Occlusion traumatique dentaire (rééducation et réadaptation), Pose d'implant dentaire endo-osseux, Procédures d'ancrage orthodontique (instrumentation), Prothèse dentaire partielle amovible, Restauration coronoradiculaire, Rééducation buccale, Traitement de canal radiculaire, Usure dentaire (rééducation et réadaptation), Élongation coronaire.
- MESH :
- rééducation et réadaptation : Adulte d'âge moyen, Couronnes, Dimension verticale, Gencive, Humains, Mâchoire partiellement édentée, Mâle, Occlusion traumatique dentaire, Pose d'implant dentaire endo-osseux, Procédures d'ancrage orthodontique, Prothèse dentaire partielle amovible, Restauration coronoradiculaire, Rééducation buccale, Traitement de canal radiculaire, Usure dentaire, Élongation coronaire.
English descriptors
- KwdEn :
- Accurate diagnosis, American college, Anchor units, Anchorage, Anterior guide table, Anterior region, Anterior teeth, Articulator, Barium sulfate, Bimanual manipulation technique, Centric relation, Cervical lesions, Chamfer margin, Clin, Clin orthod, Coil spring, Compensatory mechanisms, Cone beam, Crown Lengthening, Crowns, Custom acrylic tray, Dent, Dent assoc, Dental Implantation, Endosseous, Dental Occlusion, Traumatic (rehabilitation), Dental implants, Dentition, Dentition figure, Dentition moslehifard, Dentomaxillofac radiol, Denture, Partial, Removable, Edentulous areas, Endodontic therapy, Favorable prosthetic treatment, Frontal view, Gingiva (transplantation), Gold dowels, Humans, Implant, Implant placement, Incisor, Interim prostheses, Interocclusal, Interocclusal distance, Interocclusal registration, Jaw, Edentulous, Partially (rehabilitation), Kerr corp, Lateral incisor, Male, Mandible, Mandibular, Maxillary, Maxillary incisors, Medical sciences, Middle Aged, Molar, Moslehifard, Mouth Rehabilitation, Occlusal, Occlusal plane, Occlusal view, Occlusion, Oral pathol, Oral rehabil, Oral surg, Orthodontic Anchorage Procedures (instrumentation), Orthodontic anchorage, Orthodontic movement, Orthodontic therapy, Orthodontic treatment, Partial edentulism, Periapical radiographs, Periodontal therapy, Post and Core Technique, Posterior teeth, Premolar, Prosthesis, Prosthet, Prosthet dent, Prosthetic treatment, Prosthodontics, Prosthodontist, Prosthodontists moslehifard, Radiographic examinations, Radiol endod, Removable prostheses, Right mandibular, Right maxillary, Root Canal Therapy, Second mandibular right premolar, Second molar, Such patients, Tabriz university, Tehran university, Temporary cement, Tooth Wear (rehabilitation), Tooth preparation, Tooth surface loss, Treatment options, Treatment plan, Treatment planning, Uneven occlusal plane, Vertical Dimension, Vertical dimension.
- MESH :
- instrumentation : Orthodontic Anchorage Procedures.
- rehabilitation : Dental Occlusion, Traumatic, Jaw, Edentulous, Partially, Tooth Wear.
- transplantation : Gingiva.
- Teeft :
- Accurate diagnosis, American college, Anchor units, Anchorage, Anterior guide table, Anterior region, Anterior teeth, Articulator, Barium sulfate, Bimanual manipulation technique, Centric relation, Cervical lesions, Chamfer margin, Clin, Clin orthod, Coil spring, Compensatory mechanisms, Cone beam, Crown Lengthening, Crowns, Custom acrylic tray, Dent, Dent assoc, Dental Implantation, Endosseous, Dental implants, Dentition, Dentition figure, Dentition moslehifard, Dentomaxillofac radiol, Denture, Partial, Removable, Edentulous areas, Endodontic therapy, Favorable prosthetic treatment, Frontal view, Gold dowels, Humans, Implant, Implant placement, Incisor, Interim prostheses, Interocclusal, Interocclusal distance, Interocclusal registration, Kerr corp, Lateral incisor, Male, Mandible, Mandibular, Maxillary, Maxillary incisors, Medical sciences, Middle Aged, Molar, Moslehifard, Mouth Rehabilitation, Occlusal, Occlusal plane, Occlusal view, Occlusion, Oral pathol, Oral rehabil, Oral surg, Orthodontic anchorage, Orthodontic movement, Orthodontic therapy, Orthodontic treatment, Partial edentulism, Periapical radiographs, Periodontal therapy, Post and Core Technique, Posterior teeth, Premolar, Prosthesis, Prosthet, Prosthet dent, Prosthetic treatment, Prosthodontics, Prosthodontist, Prosthodontists moslehifard, Radiographic examinations, Radiol endod, Removable prostheses, Right mandibular, Right maxillary, Root Canal Therapy, Second mandibular right premolar, Second molar, Such patients, Tabriz university, Tehran university, Temporary cement, Tooth preparation, Tooth surface loss, Treatment options, Treatment plan, Treatment planning, Uneven occlusal plane, Vertical Dimension, Vertical dimension.
Abstract
Severe tooth wear is frequently multifactorial and variable. Successful management is a subject of interest in dentistry. A critical aspect is to determine the occlusal vertical dimension (OVD) and a systematic approach that can lead to a predictable and favorable treatment prognosis. Management of patients with worn dentition is complex and difficult. Accurate clinical and radiographic examinations, a diagnostic wax‐up, and determining OVD are crucial. Using mini‐implants as orthodontic anchorage may facilitate orthodontic movement of teeth to improve their position, which is necessary for favorable prosthetic treatment. A 46‐year‐old man was referred for restoration of his worn and missing teeth. After diagnostic work‐up, provisional removable prostheses were fabricated for both jaws, evaluated clinically, and adjusted according to esthetic, phonetic, and vertical dimension criteria. Clinical crown lengthening and free gingival graft procedures were performed in appropriate areas. Drifting of the left posterior mandibular teeth was corrected using mini‐implants as orthodontic anchorage. Two conventional implants were inserted in the right mandibular edentulous area. After endodontic therapy of worn teeth, custom‐cast gold dowels and cores were fabricated, and provisional removable prostheses were replaced with fixed provisional restorations. Metal‐ceramic restorations were fabricated, and a removable partial denture with attachments was fabricated for maxillary edentulous areas. An occlusal splint was used to protect the restorations. Full‐mouth rehabilitation of the patient with severely worn dentition and an uneven occlusal plane was found to be successful after 3 years of follow‐up. This result can encourage clinicians to seek accurate diagnosis and treatment planning to treat such patients.
Url:
DOI: 10.1111/j.1532-849X.2011.00765.x
Affiliations:
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<term>American college</term>
<term>Anchor units</term>
<term>Anchorage</term>
<term>Anterior guide table</term>
<term>Anterior region</term>
<term>Anterior teeth</term>
<term>Articulator</term>
<term>Barium sulfate</term>
<term>Bimanual manipulation technique</term>
<term>Centric relation</term>
<term>Cervical lesions</term>
<term>Chamfer margin</term>
<term>Clin</term>
<term>Clin orthod</term>
<term>Coil spring</term>
<term>Compensatory mechanisms</term>
<term>Cone beam</term>
<term>Crown Lengthening</term>
<term>Crowns</term>
<term>Custom acrylic tray</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Occlusion, Traumatic (rehabilitation)</term>
<term>Dental implants</term>
<term>Dentition</term>
<term>Dentition figure</term>
<term>Dentition moslehifard</term>
<term>Dentomaxillofac radiol</term>
<term>Denture, Partial, Removable</term>
<term>Edentulous areas</term>
<term>Endodontic therapy</term>
<term>Favorable prosthetic treatment</term>
<term>Frontal view</term>
<term>Gingiva (transplantation)</term>
<term>Gold dowels</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Incisor</term>
<term>Interim prostheses</term>
<term>Interocclusal</term>
<term>Interocclusal distance</term>
<term>Interocclusal registration</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Kerr corp</term>
<term>Lateral incisor</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Maxillary</term>
<term>Maxillary incisors</term>
<term>Medical sciences</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Moslehifard</term>
<term>Mouth Rehabilitation</term>
<term>Occlusal</term>
<term>Occlusal plane</term>
<term>Occlusal view</term>
<term>Occlusion</term>
<term>Oral pathol</term>
<term>Oral rehabil</term>
<term>Oral surg</term>
<term>Orthodontic Anchorage Procedures (instrumentation)</term>
<term>Orthodontic anchorage</term>
<term>Orthodontic movement</term>
<term>Orthodontic therapy</term>
<term>Orthodontic treatment</term>
<term>Partial edentulism</term>
<term>Periapical radiographs</term>
<term>Periodontal therapy</term>
<term>Post and Core Technique</term>
<term>Posterior teeth</term>
<term>Premolar</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic treatment</term>
<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists moslehifard</term>
<term>Radiographic examinations</term>
<term>Radiol endod</term>
<term>Removable prostheses</term>
<term>Right mandibular</term>
<term>Right maxillary</term>
<term>Root Canal Therapy</term>
<term>Second mandibular right premolar</term>
<term>Second molar</term>
<term>Such patients</term>
<term>Tabriz university</term>
<term>Tehran university</term>
<term>Temporary cement</term>
<term>Tooth Wear (rehabilitation)</term>
<term>Tooth preparation</term>
<term>Tooth surface loss</term>
<term>Treatment options</term>
<term>Treatment plan</term>
<term>Treatment planning</term>
<term>Uneven occlusal plane</term>
<term>Vertical Dimension</term>
<term>Vertical dimension</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Couronnes</term>
<term>Dimension verticale</term>
<term>Gencive (transplantation)</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Occlusion traumatique dentaire (rééducation et réadaptation)</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures d'ancrage orthodontique (instrumentation)</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Restauration coronoradiculaire</term>
<term>Rééducation buccale</term>
<term>Traitement de canal radiculaire</term>
<term>Usure dentaire (rééducation et réadaptation)</term>
<term>Élongation coronaire</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Orthodontic Anchorage Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Dental Occlusion, Traumatic</term>
<term>Jaw, Edentulous, Partially</term>
<term>Tooth Wear</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Couronnes</term>
<term>Dimension verticale</term>
<term>Gencive</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Occlusion traumatique dentaire</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures d'ancrage orthodontique</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Restauration coronoradiculaire</term>
<term>Rééducation buccale</term>
<term>Traitement de canal radiculaire</term>
<term>Usure dentaire</term>
<term>Élongation coronaire</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Gingiva</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Accurate diagnosis</term>
<term>American college</term>
<term>Anchor units</term>
<term>Anchorage</term>
<term>Anterior guide table</term>
<term>Anterior region</term>
<term>Anterior teeth</term>
<term>Articulator</term>
<term>Barium sulfate</term>
<term>Bimanual manipulation technique</term>
<term>Centric relation</term>
<term>Cervical lesions</term>
<term>Chamfer margin</term>
<term>Clin</term>
<term>Clin orthod</term>
<term>Coil spring</term>
<term>Compensatory mechanisms</term>
<term>Cone beam</term>
<term>Crown Lengthening</term>
<term>Crowns</term>
<term>Custom acrylic tray</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental implants</term>
<term>Dentition</term>
<term>Dentition figure</term>
<term>Dentition moslehifard</term>
<term>Dentomaxillofac radiol</term>
<term>Denture, Partial, Removable</term>
<term>Edentulous areas</term>
<term>Endodontic therapy</term>
<term>Favorable prosthetic treatment</term>
<term>Frontal view</term>
<term>Gold dowels</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Incisor</term>
<term>Interim prostheses</term>
<term>Interocclusal</term>
<term>Interocclusal distance</term>
<term>Interocclusal registration</term>
<term>Kerr corp</term>
<term>Lateral incisor</term>
<term>Male</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Maxillary</term>
<term>Maxillary incisors</term>
<term>Medical sciences</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Moslehifard</term>
<term>Mouth Rehabilitation</term>
<term>Occlusal</term>
<term>Occlusal plane</term>
<term>Occlusal view</term>
<term>Occlusion</term>
<term>Oral pathol</term>
<term>Oral rehabil</term>
<term>Oral surg</term>
<term>Orthodontic anchorage</term>
<term>Orthodontic movement</term>
<term>Orthodontic therapy</term>
<term>Orthodontic treatment</term>
<term>Partial edentulism</term>
<term>Periapical radiographs</term>
<term>Periodontal therapy</term>
<term>Post and Core Technique</term>
<term>Posterior teeth</term>
<term>Premolar</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic treatment</term>
<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists moslehifard</term>
<term>Radiographic examinations</term>
<term>Radiol endod</term>
<term>Removable prostheses</term>
<term>Right mandibular</term>
<term>Right maxillary</term>
<term>Root Canal Therapy</term>
<term>Second mandibular right premolar</term>
<term>Second molar</term>
<term>Such patients</term>
<term>Tabriz university</term>
<term>Tehran university</term>
<term>Temporary cement</term>
<term>Tooth preparation</term>
<term>Tooth surface loss</term>
<term>Treatment options</term>
<term>Treatment plan</term>
<term>Treatment planning</term>
<term>Uneven occlusal plane</term>
<term>Vertical Dimension</term>
<term>Vertical dimension</term>
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<front><div type="abstract" xml:lang="en">Severe tooth wear is frequently multifactorial and variable. Successful management is a subject of interest in dentistry. A critical aspect is to determine the occlusal vertical dimension (OVD) and a systematic approach that can lead to a predictable and favorable treatment prognosis. Management of patients with worn dentition is complex and difficult. Accurate clinical and radiographic examinations, a diagnostic wax‐up, and determining OVD are crucial. Using mini‐implants as orthodontic anchorage may facilitate orthodontic movement of teeth to improve their position, which is necessary for favorable prosthetic treatment. A 46‐year‐old man was referred for restoration of his worn and missing teeth. After diagnostic work‐up, provisional removable prostheses were fabricated for both jaws, evaluated clinically, and adjusted according to esthetic, phonetic, and vertical dimension criteria. Clinical crown lengthening and free gingival graft procedures were performed in appropriate areas. Drifting of the left posterior mandibular teeth was corrected using mini‐implants as orthodontic anchorage. Two conventional implants were inserted in the right mandibular edentulous area. After endodontic therapy of worn teeth, custom‐cast gold dowels and cores were fabricated, and provisional removable prostheses were replaced with fixed provisional restorations. Metal‐ceramic restorations were fabricated, and a removable partial denture with attachments was fabricated for maxillary edentulous areas. An occlusal splint was used to protect the restorations. Full‐mouth rehabilitation of the patient with severely worn dentition and an uneven occlusal plane was found to be successful after 3 years of follow‐up. This result can encourage clinicians to seek accurate diagnosis and treatment planning to treat such patients.</div>
</front>
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<name sortKey="Mahboub, Farhang" sort="Mahboub, Farhang" uniqKey="Mahboub F" first="Farhang" last="Mahboub">Farhang Mahboub</name>
<name sortKey="Nikzad, Sakineh" sort="Nikzad, Sakineh" uniqKey="Nikzad S" first="Sakineh" last="Nikzad">Sakineh Nikzad</name>
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