Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition

Jung,  Ji-Hye

doi:2016.54.6.438

J Korean Dent Assoc > Volume 54(6); 2016 > Article

The Journal of The Korean Dental Association 2016;54(6):438-446.
DOI: https://doi.org/10.22974/jkda.2016.54.6.004 Published online June 30, 2016.

과도한 마모를 가진 환자의 수직 고경 증가를 동반한 전악수복 증례

정지혜

원광대학교 치과대학 치과보철학교실

Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition

Ji-Hye Jung

Department of Prosthodontics, College of Dentistry, Wonkwang University

Abstract

Severe tooth wear may cause the pathologic change of the TMJ and masticatory muscles, unesthetic facial appearance, pathogenic pulp and occlusal disharmony. Treating patients with severely worn dentition often requires full mouth rehabilitation with increasing vertical dimension. Proper diagnosis and treatment planning are important for esthetic and functional definitive restorations and the long term stability of the neuromuscular system and the TMJ. In this case, 66 year-old female presented with generalized worn dentition. Based on assessment, pathologic destruction of teeth structure on entire dentition was caused by masticatory force and diet habit without loss of vertical dimension. Subsequently, 3 mm increase of vertical dimension that based on incisor for tooth restoration and esthetic improvement was determined. After 8 weeks stabilization period with temporary fixed prostheses, definitive prostheses were fabricated. After 6 months follow up period, satisfactory outcomes were attained both functional and esthetic aspects through this procedure.

Key Words: Full mouth rehabilitation;Tooth wear;Vertical dimension;