Restabelecimento da dimensão vertical perdida em caso de bruxismo severo: relato de caso clínico

Abstract

Introduction: One of the dentist’s greatest challenges when planning an oral rehabilitation is to restore the altered vertical dimension , sometimes due to the loss of posterior teeth or caused by their excessive wearing as a consequence of parafunctional habits . Proposition : to present a c ase report in which the patient’s vertical dimension was re-established after being lost to the habit of bruxism. Case report: A 48-year-old male leucodermic patient had a severe teeth wearing , leading to the loss of the occlusion vertical dimension. Due to such huge loss of tooth structure , the patient had several affected teeth; therefore, endodontic treatments were performed with the subsequent nucleus implantation. To recover the vertical dimension , metal-ceramic crowns were placed in all upper jaw teeth ; in the lower arch , only the anterior teeth received metal-ceramic crowns and , due to the absence of posterior teeth, the patient was rehabilitated with a removable partial denture . At the end of treatment , the patient received a ( myo- relaxing) interocclusal plate to protect the crowns , providing a more stable joint positioning . Conclusions : It is extremely important that the dentist is able to solve the patients’ problems , attending to their needs , rehabilitating them the best way possible , so as to meet their expectations of a better quality of life .