Title: A Multidisciplinary Approach for Restoring Function and Esthetics in a Patient with Worn out Dentition: a Clinical Report
Authors: Dr Ruby, Dr Manish Kumar, Dr Hanish Chaudhary
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.32
Cases of severe attrition and abrasion are common finding in daily clinical practice. This leads to loss of vertical dimension, chewing inefficiency and poor esthetics. These cases require complete oral rehabilitation which can be successfully achieved by a systematic approach integrating various concepts of prosthodontics. Full mouth rehabilitation cases are one of the most difficult cases to manage. They involve not only the replacement of the lost tooth structure but also restoring the lost vertical dimension. Patients generally present with isolated problems in individual tooth, or in isolated teeth in different locations in the oral cavity. Very rarely, patients will present with total wear and tear of all the teeth. This article describes the management of a case with severely attrited, abraded and worn out dentition. Key Words: Attrition; abrasion; full mouth rehabilitation; loss of vertical dimension; occlusal splint; tooth loss; mutilated dentition 1. Binkley CJ, Binkley TK. A practical approach to full mouth rehabilitation. J Prosthet Dent. 1987;57:261-5. 2. Schweitzer JM. An evaluation of 50 years of reconstructive dentistry, Part I: jaw relations and occlusion. J Prosthet Dent. 1981;45:383-8. 3. Schweitzer JM. An evaluation of 50 years of reconstructive dentistry, Part II: Effectiveness. J Prosthet Dent. 1981;45:492-98. 4. Goldman I. The goal of full mouth rehabilitation. J Prosthet Dent. 1952;2:246-51. 5. Bronstein BR. Rationale and technique of biomechanical occlusal rehabilitation. J Prosthet Dent. 1954;4:352-67. 6. Schweitzer JM. A conservative approach to oral rehabilitation. J Prosthet Dent. 1961;11:119-23. 7. Abrahamsen TC. The worn dentition- pathognomonic patterns of abrasion and erosion. Int Dent J. 2005;4:268-76. 8. Miller PD Jr. A classification of marginal tissue recession. Int J Periodont Restor Dent. 1985;5:9. 9. Landa JS. An analysis of current practices in mouth rehabilitation. J Prosthet Dent. 1955;5:527-37. 10. D’Amico A. functional occlusion of natural teeth in men. J Prosthet Dent. 1961;11:899- 915. Abstract
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