Abstract
Restoration of excessively worn dentition is a challenging treatment procedures. It requires efficient diagnosis and treatment plan. Hobo's techniques and Pankey Mann Schuyler's philosophy are widely used and documented for full mouth rehabilitation. We have reported the case of a 56-year- old male patient who presented with the severely worn dentition and had difficulty in chewing. To rehabilitate this case Hobo's twin stage technique had been adopted as it is based on scientific data and mathematical analysis for both disocclusion and anterior guidance thus reducing chair side time. Keywords: attrited; hobo; occlusion; rehabilitation.
Highlights
Gradual wear of occlusal surfaces of teeth is a normal process but excessive wear of teeth results in compromised esthetics and impaired function
Excessive wear of the occlusal surface of teeth leads to the decreased vertical dimension of occlusion (VDO).[1]
Full mouth rehabilitation is a challenging treatment modality dealing with reconstruction and restoration of the worn dentition and maintenance of the stomatognathic system.[2]
Summary
Gradual wear of occlusal surfaces of teeth is a normal process but excessive wear of teeth results in compromised esthetics and impaired function. While evaluating esthetics: the face was symmetrical with a straight profile and nasolabial angle less than 90o, facial midline coincides with dental midline, lips were symmetrical and competent with 50% mandibular teeth visible short lip length i.e 20mm. This case report presents the procedures of rehabilitation of a patient with severely worn dentitions with decreased VDO. The rehabilitation of this patient includes all-ceramic crowns and implant restorations with increasing the vertical dimensions of occulusion using the Hobo’s twin stage technique. The articulator was programmed to condition 1 of Hobo’s twin stage procedure (Table 1)
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