Open Access, Peer-reviewed, Quarterly
pISSN 0301-2875
eISSN 2005-3789
    J Korean Acad Prosthodont. 2012 Oct;50(4):305-310. Korean.
    Published online Oct 30, 2012.
    https://doi.org/10.4047/jkap.2012.50.4.305
    Copyright © 2012 The Korean Academy of Prosthodontics
    Case Report

    Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report

    So-Mi Chung, DMD, Hyeong-Seob Kim, DMD, MSD, PhD and Kung-Rock Kwon, DMD, MSD, PhD
      • Department of Prosthodontics, School of Dentistry, Kyung Hee University, Seoul, Korea.
    • Corresponding Author: Kung-Rock Kwon. Department of Prosthodontics, School of Dentistry, Kyung Hee University, Hoegi-Dong 1, Dongdaemun-Gu, Seoul, 130-701, Korea. +82 2 958 9340: Email: krkwon@khu.ac.kr
    Received September 01, 2012; Revised October 05, 2012; Accepted October 12, 2012.

    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

    It is a great challenge for dentists to do prosthetic restorations of a patient with reduced occlusal vertical dimension (OVD). Proper determination of the OVD is significant. An 85-year-old male patient came in with missing right maxillary posterior teeth. After diagnostic wax-up, reversible provisional prostheses were used to evaluate the new OVD in the maxilla and mandible. After that, the patient was evaluated clinically based on the criteria of esthetic, phonetic, and OVD. After 8 weeks, teeth with excessive wear were treated with root canal therapy and fiber post and core and irreversible provisional prostheses were done. After 8 weeks of observation period, final restorations with fixed partial dentures and removable partial dentures were made. Throughout the follow-up period of 6 months, no symptoms related with increased OVD and mechanical complications were observed.

    Keywords
    Full-mouth rehabilitation; Occlusal vertical dimension (OVD)

    Figures

    Fig. 1
    Intraoral photographs before treatment (A) Maxillary occlusal view (B) Frontal view (C) Mandibular occlusal view (D) Old mandibular removable partial denture.

    Fig. 2
    Panoramic radiograph before treatment.

    Fig. 3
    Facial photographs before treatment (A) Lateral view (B) Frontal view.

    Fig. 4
    First provisional prostheses (A) A diagnostic wax-up (B) Frontal view.

    Fig. 5
    Secondary provisional prostheses.

    Fig. 6
    Definitive prostheses (A, D) Maxillary occlusal view (B, E) Frontal view (C, F) Mandibular occlusal view.

    Fig. 7
    Facial photographs after treatment (A, B) Frontal view (C) Lateral view.

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    MeSH Terms
    Aged, 80 and over
    Dentists
    Denture, Partial, Fixed
    Denture, Partial, Removable
    Follow-Up Studies
    Humans
    Male
    Mandible
    Maxilla
    Porphyrins
    Prostheses and Implants
    Root Canal Therapy
    Tooth
    Vertical Dimension
    Metrics
    Share
    Figures
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