Loss Of Anterior Guidance Research Articles

Full Mouth Reconstruction of a Patient with Severely Worn Dentition: A Clinical Report

If remained untreated, progressive dental wear can lead to pulpal pathology, occlusal disharmony, and impaired function and esthetics. This case report describes prosthetic rehabilitation of a 53 year-old man with the loss of anterior guidance, severe wear of dentition and vertical dimension loss. Oral rehabilitation was performed by reconstruction of vertical dimension, crown lengthening, conventional implants, and custom cast gold post and cores as well as porcelain fused to metal restorations. Full mouth reconstruction of the patient with severely worn dentition was found to be successful after 4 years of follow up. Keywords: mouth rehabilitation, tooth wear, vertical dimension

Esthetic and Functional Rehabilitation of a Patient with Abrasion, Attrition, and Missing Teeth

ABSTRACTThe loss of tooth substance due to attrition and abrasion may lead to sensitivity to hot and cold, compromised esthetics, loss of anterior guidance and decreased masticatory efficiency. This case report describes the oral rehabilitation of a patient with abrasion, attrition and missing teeth. Treatment consisted of endodontic treatments of multiple teeth followed by their full coverage restorations, and fixed partial dentures for replacement of missing teeth. Esthetic and functional rehabilitation resulted in patient satisfaction, and no complications were noted related to the treatment after 1 year.How to cite this articleKulkarni RS. Esthetic and Functional Rehabilitation of a Patient with Abrasion, Attrition, and Missing Teeth. Int J Prosthodont Restor Dent 2014;4(2):52-55.

Full mouth rehabilitation in a patient with loss of vertical dimension caused by severe tooth loss: a case report

Decrease of occlusal vertical dimension (OVD) due to loss of teeth structure and destruction of the occlusal plane by severely worn dentition may cause cross bite or temporomandibular joint disorder by following change of facial feature or the loss of anterior guidance. Full mouth rehabilitation via an increase of the OVD can be considered to avoid this problem and proper evaluation of patient's OVD is essential. An 80 year old male visited for overall prosthodontic treatment, cross bite due to continuous wear and following decrease of the OVD were observed. We analyzed the existing occlusal relationship using the diagnostic cast, the radiographic evaluation and clinical test, and then proper increase of OVD was selected. The new OVD on diagnostic wax up was placed by the temporary restoration. After 3 months of observation period, final restoration with fixed partial dentures and implant overdenture were made. Throughout the follow-up period of 8 months, the aesthetic and functional improvement can be obtained. (J Korean Acad Prosthodont 2014;52:42-7)

Full-mouth rehabilitation of a patient with severe attrition using the Hobo twin-stage procedure

Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function and aesthetic deformity. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This clinical report describes the use of the Hobo twin-stage procedure for rehabilitation of a patient with severe tooth wear, resulting in reduced vertical dimension of occlusion.

Full-mouth Rehabilitation of a Patient with Severe Attrition using Hobo Twin-Stage Procedure

ABSTRACT Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function and esthetic deformity. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This clinical report describes the use of Hobo Twin- stage procedure for rehabilitation of a patient with severe tooth wear, resulting in reduced VDO.