Full Mouth Rehabilitation of a Patient with Extracoronal Attachments and Telescopic Prosthesis - A Case Report

Abstract

The management of tooth wear is complex and challenging as it involves multidisciplinary approach. Proper diagnosis and elaborative treatment protocol is necessary to obtain successful and predictable outcome. The objective of full mouth rehabilitation includes identification of the cause, prevention and preservation of the remaining tooth structure. This case report presents the management of the remaining teeth by endodontic and periodontic intervention which was followed by porcelain fused to metal fixed prosthesis, telescopic denture for the upper missing teeth and extra-coronal attachments for the lower missing teeth. Segmental arch technique was utilized for the rehabilitation where anterior teeth were restored first followed by the posterior teeth. Patient had a satisfactory functional and aesthetic results.

Advanced Dental Rehabilitation in Case of Severe Tooth Wear Caused by Gastroesophageal Reflux Disease and Bruxism During COVID-19 Pandemia: A Case Report

“…Aesthetic changes include fractures and discolouration. In facial aesthetics, the loss of vertical dimension can cause reduction of the lower third, inverted lip profile and facial ageing, sometimes early 1,[7][8][9]11,12,14 .…”

“…Study models with subsequent assembly in semi-adjustable articulators can favour planning, as can diagnostic wax-ups and mock-ups. In addition, imaging tests such as panoramic and periapical radiographs, cephalometric tracings, computed tomography and magnetic resonance imaging, intraoral and extraoral photographs can complement the case information 1,6,7,[9][10][11][12]14 .…”

“…In more discreet cases, rehabilitative treatments based on Restorative Dentistry may be sufficient. However, more advanced cases may require an increase in vertical dimension and complex prosthetic rehabilitation 1,[6][7][8]11,12 . Surgical periodontal and endodontic treatments are often necessary in preparation for rehabilitation 9 .…”

“…In addition, other disorders such as gastro-oesophageal reflux disease have also shown an increased incidence in this period. When associated, parafunctional habits and gastroesophageal reflux disease can promote excessive tooth wear 1,[6][7][8][9][10][11][12] .…”

“…It is usually the result of parafunctional habits -bruxism or clenching. They are frequently observed in the dental clinic 1,6,[8][9][10][11][12] .…”