Aesthetic and Functional Rehabilitation with Prosthetic Approach and Vertical Dimension Occlusion Increase: A Case Report

Abstract

Prosthetic rehabilitation of severely worn teeth with loss of vertical dimension is difficult due to limited space and the need for complex treatments. To improve aesthetics, maintain anterior tooth relationships, and provide space for the prosthesis, effective treatment alternatives are needed to increase the Occlusal Vertical Dimension (OVD). This will reduce the need for invasive procedures and endodontic treatments. For optimum treatment, accurate measurements of the OVD, interocclusal resting area, and central relationship recordings are needed. The contours of the facial soft tissues should be examined. Before beginning the full mouth rehabilitation, it should be kept in mind that severe abrasion does not always result in the loss of vertical dimension, and it does not necessarily eliminate all defective occlusal interactions. In preventive and restorative dentistry, managing tooth wear and attrition is a fascinating subject. One of the treatment alternatives after a confirmed diagnosis is full mouth reconstruction along with identifying the sources. It is complex and difficult to manage dental attrition. A clinical evaluation of the patient following the cementation of temporary fixed restorations or the use of a diagnostic splint or temporary removable prosthesis can assist in determining the OVD. It is recommended to utilise fixed restorations rather than a removable appliance to increase OVD since patient adaptation is predictable. In the present case, the vertical dimension was restored with an improvement in both function and aesthetics, providing a satisfactory clinical outcome.