Full mouth rehabilitation of the patient with severely worn dentition: a case report
Identifieur interne : 002394 ( Pmc/Checkpoint ); précédent : 002393; suivant : 002395Full mouth rehabilitation of the patient with severely worn dentition: a case report
Auteurs : Mi-Young Song [Corée du Sud] ; Ji-Man Park [Corée du Sud] ; Eun-Jin Park [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2010.
Abstract
The severe wear of anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes 77-year-old female, who had the loss of anterior guidance, the severe wear of dentition, and the reduction of the vertical dimension. Occlusal overlay splint was used after the decision of increasing vertical dimension by anatomical landmark, facial and physiologic measurement. Once the compatibility of the new vertical dimension had been confirmed, interim fixed restoration and the permanent reconstruction was initiated. This case reports that a satisfactory clinical result was achieved by restoring the vertical dimension with an improvement in esthetics and function.
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DOI: 10.4047/jap.2010.2.3.106
PubMed: 21165279
PubMed Central: 2994694
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<front><div type="abstract" xml:lang="en"><p>The severe wear of anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes 77-year-old female, who had the loss of anterior guidance, the severe wear of dentition, and the reduction of the vertical dimension. Occlusal overlay splint was used after the decision of increasing vertical dimension by anatomical landmark, facial and physiologic measurement. Once the compatibility of the new vertical dimension had been confirmed, interim fixed restoration and the permanent reconstruction was initiated. This case reports that a satisfactory clinical result was achieved by restoring the vertical dimension with an improvement in esthetics and function.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title>
</journal-title-group>
<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21165279</article-id>
<article-id pub-id-type="pmc">2994694</article-id>
<article-id pub-id-type="doi">10.4047/jap.2010.2.3.106</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Full mouth rehabilitation of the patient with severely worn dentition: a case report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Song</surname>
<given-names>Mi-Young</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Park</surname>
<given-names>Ji-Man</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Park</surname>
<given-names>Eun-Jin</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MMSc</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Prosthodontics, School of Medicine, Ewha Womans University, Seoul, Korea.</aff>
<author-notes><corresp>Corresponding author: Eun-Jin Park. Department of Prosthodontics, School of Medicine, Ewha Womans University 911-1, Mok-6-dong, Yangchun-gu, Seoul, 158-710, Korea. Tel. 82 2 2650 5042: <email>prosth@ewha.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>9</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>9</month>
<year>2010</year>
</pub-date>
<volume>2</volume>
<issue>3</issue>
<fpage>106</fpage>
<lpage>110</lpage>
<history><date date-type="received"><day>12</day>
<month>8</month>
<year>2010</year>
</date>
<date date-type="rev-recd"><day>30</day>
<month>8</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>03</day>
<month>9</month>
<year>2010</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2010 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The severe wear of anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes 77-year-old female, who had the loss of anterior guidance, the severe wear of dentition, and the reduction of the vertical dimension. Occlusal overlay splint was used after the decision of increasing vertical dimension by anatomical landmark, facial and physiologic measurement. Once the compatibility of the new vertical dimension had been confirmed, interim fixed restoration and the permanent reconstruction was initiated. This case reports that a satisfactory clinical result was achieved by restoring the vertical dimension with an improvement in esthetics and function.</p>
</abstract>
<kwd-group><kwd>Tooth wear</kwd>
<kwd>Vertical dimension of occlusion</kwd>
<kwd>Occlusal overlay splint</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Fig. 1</label>
<caption><p>Initial oral examination. A: Frontal view. Severely worn dentition and loss of posterior support were shown. B: Maxillary occlusal view. The palatal surface of maxilliary left canine was worn to the gingival level and got root canal treatment. C: Mandibular occlusal view. The severe attrition and abfraction on anterior teeth were shown.</p>
</caption>
<graphic xlink:href="jap-2-106-g001"></graphic>
</fig>
<fig id="F2" position="float"><label>Fig. 2</label>
<caption><p>Transcranial view of TMJ. Disfigurement or limitation of movement of TMJ was not detected.</p>
</caption>
<graphic xlink:href="jap-2-106-g002"></graphic>
</fig>
<fig id="F3" position="float"><label>Fig. 3</label>
<caption><p>Occlusal overlay splint was delivered and monitored for 1 month to evaluate patient's adaptation to the new VDO.</p>
</caption>
<graphic xlink:href="jap-2-106-g003"></graphic>
</fig>
<fig id="F4" position="float"><label>Fig. 4</label>
<caption><p>Diagnostic wax-up was done on the new VDO that was obtained by adjustment using the overlay occlusal splint.</p>
</caption>
<graphic xlink:href="jap-2-106-g004"></graphic>
</fig>
<fig id="F5" position="float"><label>Fig. 5</label>
<caption><p>Provisional restorations were placed after trial period of removable occlusal overlay splint.</p>
</caption>
<graphic xlink:href="jap-2-106-g005"></graphic>
</fig>
<fig id="F6" position="float"><label>Fig. 6</label>
<caption><p>Customized anterior guide was made utilizing the duplicated provisional restoration casts.</p>
</caption>
<graphic xlink:href="jap-2-106-g006"></graphic>
</fig>
<fig id="F7" position="float"><label>Fig. 7</label>
<caption><p>Bite registration was taken using provisional restoration and bite registration material by half and half. A: Left bite registration, B: Right bite registration.</p>
</caption>
<graphic xlink:href="jap-2-106-g007"></graphic>
</fig>
<fig id="F8" position="float"><label>Fig. 8</label>
<caption><p>Definitive restoration was delivered. A: frontal view, B: maxilliary occlusal view, C: mandibular occlusal view.</p>
</caption>
<graphic xlink:href="jap-2-106-g008"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Corée du Sud</li>
</country>
<region><li>Région capitale de Séoul</li>
</region>
<settlement><li>Séoul</li>
</settlement>
</list>
<tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Song, Mi Young" sort="Song, Mi Young" uniqKey="Song M" first="Mi-Young" last="Song">Mi-Young Song</name>
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<name sortKey="Park, Eun Jin" sort="Park, Eun Jin" uniqKey="Park E" first="Eun-Jin" last="Park">Eun-Jin Park</name>
<name sortKey="Park, Ji Man" sort="Park, Ji Man" uniqKey="Park J" first="Ji-Man" last="Park">Ji-Man Park</name>
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