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KMID : 0362420210590020228
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Journal of Korean Academy of Prosthodontics
2021 Volume.59 No. 2 p.228 ~ p.237
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Full mouth rehabilitation of iatrogenic attrition patient
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Lim Na-Kyung
Shin Soo-Yeon
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Abstract
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Physiologic tooth attrition is accepted as a natural change. But when pathologic changes, such as loss of occlusal vertical dimension, masticatory pain, loss of masticatory function, and loss of esthetics occur, restorative measures shouldbe taken by dentist. A patient visited the clinic with the chief complaint of ‘My lower teeth bite the palate and it hurts’. It was diagnosed as iatrogenic attrition of lower natural dentition caused by inappropriate upper restorations, resulting in traumatic overbite. Through model analysis and diagnostic wax up, increase in vertical dimension was decided. Upper and lower dentitions were restored with new prostheses. After restoration, satisfactory outcomes were achieved both in functional and esthetic aspects.
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KEYWORD
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Iatrogenic disease, Occlusal splint, Overbite, tooth wear, Vertical dimension of occlusion
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