Full mouth rehabilitation of the patient with severely worn dentition and limited vertical dimension

Min-Seong Yang, Seong-Kyun Kim, S. Heo, J. Koak, Ji-Man Park, Yuseung Yi
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Abstract

Severely worn dentition causes various complications such as loss of tooth struc-ture, discoloration, pulp complications and loss of function and aesthetics. In this case, the patient showed particularly severe attrition in the anterior teeth and lack of space for restoration. The amount of vertical dimension was determined based on the diagnostic wax up, and the patient’s adaptation was evaluated by using a removable occlusal splint for 6 weeks. Thereafter, the coordination of the muscu-lar nervous system, aesthetics, temporomandibular joint were re-evaluated for 3 months by restoring the fixed provisional restoration. Through the above treatment process, the final restoration was completed with full mouth fixed prosthe-sis using monolithic zirconia, and functionally and aesthetically stable results were obtained. (J Korean Acad Prosthodont 2022;60:91-9)
牙列严重磨损及垂直尺寸受限患者的全口康复
牙列严重磨损会导致各种并发症,如牙齿结构丧失、变色、牙髓并发症以及功能和美观丧失。在本例中,患者表现出特别严重的前牙磨损和缺乏修复空间。根据诊断的上蜡量确定垂直尺寸的大小,并通过使用可移动的咬合夹板6周来评估患者的适应性。术后3个月,通过修复固定的临时修复,重新评估肌肉神经系统的协调性、美观性、颞下颌关节。通过以上处理过程,最终采用整体氧化锆全口固定义齿完成修复,获得了功能和美观稳定的结果。(韩国口腔医学学报2022;60:91-9)
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