Open Access, Peer-reviewed, Quarterly
pISSN 0301-2875
eISSN 2005-3789
    J Korean Acad Prosthodont. 2016 Jul;54(3):306-313. Korean.
    Published online Jul 26, 2016.
    https://doi.org/10.4047/jkap.2016.54.3.306
    Copyright © 2016 The Korean Academy of Prosthodontics
    Case Report

    Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

    Tae Su Kim, Jae Hyun Lee, Chul Won Lee, Won Sup Lee and Su Young Lee
      • Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Republic of Korea.
    • Corresponding Author: Su Young Lee. Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Republic of Korea. +82 (0)2 2258 6309: Email: lsuyoung@daum.net
    Received February 12, 2016; Revised April 11, 2016; Accepted April 12, 2016.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Tooth wear is known as a normal physiological process which gradually progresses. It is reported that vertical dimension can be kept stable because amount of physiologically worn loss could be compensated by growth of alveolar bone and tooth eruption. However, excessive tooth wear as pathologic wear can cause pathologic pulp, disharmony with occlusal plane, functional disorders and esthetic problems so that full mouth rehabilitation could be needed in these cases. Recovery of function and esthetic improvement should be considered for alteration of the vertical dimension. Determination of the vertical dimension of occlusion is needed to be in harmony with the neuromuscular system. This clinical report describes 36 year-old female patient who had chief complaint of severely worn dentition and esthetic discomfort. An increase of 2.0 mm at maxillary incisal edge was done to restore vertical dimension. It was based on the degree of tooth wear and esthetics.

    Keywords
    Tooth wear; Vertical dimension; Full mouth rehabilitation; All ceramic restorations

    Figures

    Fig. 1
    Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

    Fig. 2
    (A) Frontal view of facial photograph before treatment, (B) Panoramic radiograph before treatment.

    Fig. 3
    (A) Measurement of worn loss, (B) Mounted diagnostic model, (C) An increase of 2.0 mm in vertical dimension.

    Fig. 4
    Diagnostic wax up. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

    Fig. 5
    (A) 1st provisional restoration with guideline for modification, (B) 2nd provisional restoration after gingivoplasty, (C) Customized incisal guide table.

    Fig. 6
    Bisque bake crown after occlusal adjustment. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

    Fig. 7
    Pre-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

    Fig. 8
    After treatment state. (A) Frontal view of facial photograph, (B) Panoramic radiograph.

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    MeSH Terms
    Ceramics*
    Dental Occlusion
    Dentition
    Esthetics
    Female
    Humans
    Mouth Rehabilitation
    Physiological Processes
    Recovery of Function
    Rehabilitation*
    Tooth Eruption
    Tooth Wear*
    Tooth*
    Vertical Dimension
    Metrics
    Share
    Figures
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