Aesthetic and Functional Rehabilitation of a Case of Mutilated Dentition and Loss of Vertical Dimensions

Abstract

Cases of severe attrition are a common finding in daily clinical practice. Attrition leads to loss of vertical dimension, chewing inefficiency and poor esthetics. These cases require complete oral rehabilitation which can be successfully achieved by a systematic approach integrating various concepts of prosthodontics. The primary aim of such complex treatment modalities is to regain the lost function, esthetics, comfort and confidence for the patient. The following case report describes the complete oral rehabilitation of a patient diagnosed of mutilated dentition and reduced vertical dimensions due to severe attrition. A detailed treatment plan was chalked out which included institution of proper oral hygiene measures, extraction of teeth with poor prognosis, restoration of carious teeth, endodontic treatment for carious teeth with periapical involvement. This was followed by foundation restorations of teeth that were crucial for the final prostheses. Patient was given transitional restorations for about 6 weeks with the aim of regaining the lost vertical dimensions. Final rehabilitation was done by fixed dental prostheses.

An Analysis into Chief Complaint and Dental Status in Patients Indicated for Full Mouth Rehabilitation

“…Several clinical studies (Jacob, 2009;Dua et al, 2011;Gottumukkala and Raju, 2012;Lanzara, 2020) based on full mouth rehabilitation included Male patients. Our study indings correlate with the literature.…”

Different Treatment Options on Patients with Decreased Vertical Dimension: Case Report

“…5 ODB kaybı ayrıca, etkili çiğneyememe ve kötü estetik sonuçlar da ortaya çıkarır. 6 Fiziksel faktörlere bağlı ODB kayıplarında bu kayıp dişlerin erüpsiyonu ve alveol kemik büyümesiyle kompanse edilebilir. 4 Şiddetli aşınmalar ise dişlerin oklüzal yüzeylerinde morfolojik değişikliklere, ODB kaybına, pulpa patolojilerine, oklüzal uyumsuzluklara, ve çiğneme fonksiyonunda düzensizliklere neden olabilir.…”

“…Bunlardan bazıları; ODB tespit yöntemleri, oklüzal düzlemin kontrolü, istirahat dikey boyutun kontrolü, hastanın doğal dişlerinin gülme hattına göre pozisyonunun değerlendirilmesi, dişsiz alanların ve mevcut dişlerin ark içerisindeki konumlarının kontrolünü içermektedir. 6 ODB kayıpları yüzün görünüşünü de etkileyebilir ve hastaya daha yaşlı bir görüntü kazandırır, hatta şiddetli kayıplarda angular cheilitis'e neden olabilir. Diş aşınmalarına bağlı ODB kayıpları fizyolojik hâle getirecek şekilde rehabilite edilmelidir.…”

Preventive aspect of prosthodontics: An overview

“…Careful extraction should be done to avoid the presence of unantagonized tooth. [28] If antagonists are not present, supra eruption of opposing dentition leads to contact between the mucosa and teeth of the opposing arches. As a result, arch stability is lost, and this leads to severe resorption of the alveolar ridge in edentulous arch.…”