Prosthodontic Rehabilitation of the Patient with Severely Worn Dentition: A Case Report

Mahnaz Hatami,Hamid Badrian,Siamak Samanipoor,Mahmoud Sabouhi

doi:10.1155/2012/961826

Mahnaz Hatami, Hamid Badrian + Show 2 more

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https://doi.org/10.1155/2012/961826

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Abstract

The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. This paper describes the full mouth rehabilitation of a 63-year-old bruxer man with a severely worn dentition and other dental problems including unsuitable restorations and several missing teeth. The treatment entailed using cast posts and cores, metal-ceramic restorations, and a removable partial denture. As with the treatment procedure of such cases, equal-intensity centric occlusal contacts on all teeth and an anterior guidance in harmony with functional jaw movements were especially taken into account.

Highlights

Severe tooth wear is a potential threat for dentition and masticatory function
Tooth wear has been classified into the following four types: (1) attrition, which is the wear of teeth or restorations caused by tooth to tooth contact during mastication or parafunction; (2) abrasion, which is the loss of tooth surface caused by abrasion with foreign substances other than tooth to tooth contact; (3) erosion, which is the loss of tooth surface by chemical processes not involving bacterial action; (4) abfraction, that is noncarious cervical wedge-shaped defect caused by occlusal stresses [2,3,4]
This paper presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and followup, of a bruxer patient with severely worn dentition, some extracted teeth and uneven occlusal plane, using casted posts and cores, metal-ceramic restorations, removable partial denture (RPD), and an occlusal splint for protecting the restorations from patient’s parafunction

Summary

Introduction

Severe tooth wear is a potential threat for dentition and masticatory function. The management of tooth wear, especially attrition, is becoming a subject of increasing interest in the prosthodontics literature, from both preventive and restorative points of view [5]. This paper presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and followup, of a bruxer patient with severely worn dentition, some extracted teeth and uneven occlusal plane, using casted posts and cores, metal-ceramic restorations, removable partial denture (RPD), and an occlusal splint for protecting the restorations from patient’s parafunction. Clinical and radiographic examinations and diagnostic casts revealed severe attrition, especially on anterior teeth and an

Results

Conclusion