Journal of Dental Rehabilitation and Applied Science  2016;32(3):224-231

doi:10.14368/jdras.2016.32.3.224

Full mouth rehabilitation on the patient with severe tooth wear and tooth fracture using reestabilishment of occlusal vertical dimension.

Ho Sun LEE 1 ; Se Jin JOO ; Soo Yoon JIN ; Dong Wan KANG ; Gyeong Je LEE

Affiliations

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Keywords

dental attrition; full-mouth prosthetic restoration; zirconia; vertical dimension

Country

Republic of Korea

Language

Korean

Abstract

Severe dental attrition causes pathological changes of the tooth, imbalanced occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension that can incur temporomandibular joint and muscular complications. Before restoring the vertical dimension with full-mouth prosthetic restorations, it is important to determine the amount of vertical lifting through complete diagnosis. In this study, a 59 year-old male patient with generalized attrition and fracture of teeth was treated with full-mouth zirconia prosthetic restoration in order to recover vertical dimension and aesthetics. Through the analysis of physiologic rest position and inter-canine distance, the treatment was planned for lifting 3 mm in vertical dimension. Interim crown were fabricated after full-mouth wax up, having the patient use for 6 months. The final monolithic and bilayered zirconia restorations were completed. The patient showed satisfaction in function and aesthetics for 18 months of follow-up since delivering the final restorations.