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KMID : 0362420180560010070
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Journal of Korean Academy of Prosthodontics
2018 Volume.56 No. 1 p.70 ~ p.76
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Full mouth rehabilitation of severely worn dentition with implants and removable partial dentures
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Lee Shin-Eon
Lee Won-Sup
Lee Cheol-Won
Lee Su-Young
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Abstract
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Excessive tooth wear can lead to decrease in occlusal vertical dimension and can cause pathological changes in the oral environment and masticatory system. When recovering occlusal vertical dimension and occlusion, accurate diagnosis and analysis are essential. This clinical case describes a 75-year-old woman with severely worn dentition due to loss of the posterior support. Full mouth rehabilitation with occlusal vertical dimension increment was planned. Clinical and radiographic examinations, occlusal vertical dimension evaluation, and diagnostic wax-up were performed and patient adaptability was evaluated using provisional restorations. As for definitive restoration, considering economic condition of the patient, removable partial denture was fabricated and solitary implants were placed in the mandibular left and right posterior region to increase support and retention of the removable partial denture. During one year of follow-up, functional and esthetic outcomes were observed satisfactory.
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KEYWORD
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Mouth rehabilitation, Tooth wear, Occlusal vertical dimension, Dental implants, Removable partial denture
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