Systematic Approach to Prosthetic Rehabilitation of a Severely Worn Dentition: A Case Report

Roodabeh Koodaryan ,Ali Hafezeqoran

doi:10.7575/aiac.abcmed.15.03.03.10

Abstract

Management of tooth wear has been subject of increasing interest from both preventive and restorative points of view. This article describes the systematic rehabilitation of a 60-year-old man with severe worn dentition and several missing teeth. The treatment was to restore the dentition with cast posts and cores and porcelain-fused-to-metal (PFM) restorations. The treatment success was ensured with the equal-intensity centric occlusal contacts on all teeth, the development of anterior guidance and posterior disclusion in harmony with functional border movements. Keywords: Porcelain-fused-to-metal (PFM) restorations: Occlusal plane; Occlusal vertical dimension (OVD); Prosthodontic rehabilitation; Tooth wear

Highlights

Severe tooth wear is an important clinical problem that threatens dentition and masticatory function
Tooth wear can be classified as attrition, abrasion, and erosion depending on its cause and any combination of the aforementioned factors may result in tooth wear [1]
The steps in the treatment approach of these cases include comprehensive examination, diagnostic articulated study casts and wax-up, precise treatment planning and sequencing of various steps and cautious execution of the treatment plan [4,5]. This case report presents a systematic approach for the prosthodontic management of an old male patient with severely worn dentition and an uneven occlusal plane

Summary

Introduction

Severe tooth wear is an important clinical problem that threatens dentition and masticatory function. The steps in the treatment approach of these cases include comprehensive examination, diagnostic articulated study casts and wax-up, precise treatment planning and sequencing of various steps and cautious execution of the treatment plan [4,5] This case report presents a systematic approach for the prosthodontic management of an old male patient with severely worn dentition and an uneven occlusal plane. With the aid of centric relation index, two posterior bite records were made at the desired occlusal vertical dimension (OVD) utilizing a pattern resin material. These indices were used consecutively for the preparation of teeth and verifying clearance. Restorations were evaluated for aesthetics, occlusion, and phonetics and posterior disclusion on protrusion and canine guided occlusion were established on the restorations (Figure 5)

Discussion

Summary