Comprehensive treatment of compromised dentition: An interdisciplinary approach

Abstract

The objective of full mouth rehabilitation must be the reconstruction, restoration and maintenance of the health of the entire oral mechanism. It demands rehabilitation within the physiological and functional harmony of the stomatoganthic system. One of the most demanding aspects essential to long-term success of such cases involves the development of sufficient restorative space, while simultaneously fulfilling aesthetic, occlusal and functional parameters. Different philosophies have been documented for rehabilitation of such cases and the choice of the treatment plan depends on the skill and experience of the clinician. Pankeymann- Schuyler philosophy is followed for the prosthetic rehabilitation because it is a well organized, logical procedure where anterior guidance is first established followed by restoration of the posterior teeth.Clinical Relevance to Interdisciplinary DentistryPatient with severely attrited teeth have decreased vertical dimension which causes decrease in vertical dimension.Prosthetic rehabilitation is not possible without restoring the dentition to optimal health.Treatment approach requires and interdisciplinary approach with periodontal and endodontic proceduresfor an aesthetically and functionally acceptable results.