Full-mouth rehabilitation of skeletal anterior open bite with severely decayed dentition: A case report.
10.4047/jkap.2017.55.1.79
- Author:
Seong A KIM
1
;
Kwantae NOH
;
Ahran PAE
;
Yi Hyung WOO
Author Information
1. Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea. yhwoo@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Skeletal anterior open bite;
Rampant caries;
CAD/CAM;
Maintenance
- MeSH:
Bite Force;
Dental Occlusion;
Dentition*;
Diagnosis;
Esthetics;
Follow-Up Studies;
Humans;
Longevity;
Malocclusion;
Open Bite*;
Rehabilitation*
- From:The Journal of Korean Academy of Prosthodontics
2017;55(1):79-87
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The open bite malocclusion is a common clinical entity and has multifactorial causes. Development of effective treatment plan and management is dependent on proper diagnosis. The skeletal open bite patient requires a coordinated orthodontic and orthognathic surgical approach to achieve stable occlusion, acceptable esthetics, and improved function. But in case of open bite with severely decayed dentition, restoration in the entire dentition is necessary. Using the facial analysis and diagnostic wax-up, the most effective treatment was prosthetic rehabilitation. The provisional restorations were fabricated to satisfy esthetic and functional requirements, which result in the uniformly distributed occlusal force, anterior and canine guidance. The inter-arch relationship, labio-dental harmony, and the soft tissue aspect, which is important to estimate the longevity were evaluated. Definitive restorations of monolithic zirconia were made by replicating provisional restorations by using the latest CAD/CAM technology. They were delivered to the patient and clinical follow-up observation was satisfactory.
