Abstract
Loss of posterior teeth may cause an imbalance in the stomatognathic system. Overlay removable partial dentures (ORPD) are a reversible and relatively inexpensive treatment for patients with severely worn teeth. This paper presents a treatment with ORPD in a 55-year-old male patient who had severe attrition in the maxillary and mandibular teeth, temporomandibular joint pain and reduced vertical dimension of occlusion (VDO). The treatment consisted in the reestablishment of the VDO using Lucia's jig, fabricating removable partial denture with reconstruction of the worn teeth without preparation. This therapy can be used as an alternative treatment to provide esthetic, function and stable occlusion in patients with severely worn teeth.
Highlights
Failure to replace a missing posterior tooth is assumed to disrupt the balance of the stomatognathic system [1] with a consequent alteration in the vertical dimension of occlusion (VDO) [2]
Loss of VDO may be caused by physiological tooth wear and it is usually compensated for by continuous tooth eruption and alveolar bone growth [3], as well as in situations where tooth wear exceeds compensatory mechanisms [4]
This paper reports a clinical situation in which an overlay removable partial denture (ORPD) was used to treat teeth with severe wear and absence posterior occlusal support
Summary
Failure to replace a missing posterior tooth is assumed to disrupt the balance of the stomatognathic system [1] with a consequent alteration in the vertical dimension of occlusion (VDO) [2]. Loss of VDO may be caused by physiological tooth wear and it is usually compensated for by continuous tooth eruption and alveolar bone growth [3], as well as in situations where tooth wear exceeds compensatory mechanisms [4]. A treatment option may be the overlay removable partial denture (ORPD), which is a prosthesis that covers and rests on one or more natural teeth, the roots of the natural teeth [5,6,7,8,9,10]. This paper reports a clinical situation in which an ORPD was used to treat teeth with severe wear and absence posterior occlusal support
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