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:: Volume 34, Number 3 (Summer 2016) ::
J Dent Sch GYEAR__, 34(3): 192-201 Back to browse issues page
Full Mouth Reconstruction of a Patient with Worn Dentition: A Clinical Report
Alireza Hadi *, Aboulfazl Saboury
Dept. of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Dept. of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (1257 Views)

Abstract

The attrition of anterior teeth leads to the loss of efficient anterior guidance, which protects posterior teeth from wear during lateral excursions. This clinical report describes a 48-year-old man with diagonal tooth wear and posterior mandibular tooth loss. The clinical diagnosis was based on a complete oral examination, photos, functional analysis of lateral excursion movements, general health condition and behavioral aspects such as diet and bruxism.  A mandibular partial overlay denture was used to reestablish the occlusal plane after the decision of restoring the vertical dimension of occlusion (OVD) by anatomical landmarks and physiological measurements. Once the compatibility of new OVD was approved and accepted, and followed for six months, fixed implant and tooth supported restorations were fabricated.

A satisfactory clinical result was achieved by restoring OVD by 7 mm and avoiding advanced periodontal crown lengthening. Successful full mouth rehabilitation for a severely worn dentition can be achieved through good clinical management with long-term success to improve the quality of life.

Keywords: Tooth Wear, Tooth Attrition, Bruxism, Vertical Dimension
Full-Text [PDF 702 kb]   (368 Downloads)    
Type of Study: Case Report | Subject: Special
Received: 2016/05/21 | Accepted: 2016/09/23 | Published: 2017/07/3
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Hadi A, Saboury A. Full Mouth Reconstruction of a Patient with Worn Dentition: A Clinical Report. J Dent Sch. 2016; 34 (3) :192-201
URL: http://jds.sbmu.ac.ir/article-1-1534-en.html
Volume 34, Number 3 (Summer 2016) Back to browse issues page
مجله دانشکده دندانپزشکی دانشگاه علوم پزشکی شهید بهشتی Shahid Beheshti University Dental Journal
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