Full mouth rehabilitation of the elderly patient on anticoagulant medication with loss of vertical dimension due to severely worn dentition
10.4047/jkap.2018.56.1.56
- Author:
Cheol Keun KANG
1
;
Seong Joo HEO
;
Seong Kyun KIM
;
Jai Young KOAK
Author Information
1. Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea. young21c@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Full mouth rehabilitation;
Occusal vertical dimension;
Attrition
- MeSH:
Aged;
Dentition;
Diagnosis;
Esthetics;
Follow-Up Studies;
Humans;
Male;
Mouth Rehabilitation;
Mouth;
Occlusal Splints;
Prostheses and Implants;
Rehabilitation;
Tooth;
Tooth Attrition;
Vertical Dimension
- From:The Journal of Korean Academy of Prosthodontics
2018;56(1):56-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Severe dental attrition causes pathological changes of the tooth, collapsed occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension. Before increasing the vertical dimension with full-mouth rehabilitation, it is important to determine the amount of vertical dimension through accurate diagnosis. In this case, a 77 year old elderly male patient on anticoagulant medication with generalized attrition and fracture of teeth was treated with full-mouth rehabilitation in order to recover vertical dimension and aesthetics. Accurate clinical and radiographic examination, diagnostic, wax-up, and occlusal vertical dimension evaluation were step by step performed considering pre-medical history and old age. Patient adaptability was evaluated using an occlusal splint and interim restoration. After 3 months of stabilization with interim restoration, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes are observed after 6 months of follow up.
