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KMID : 0362720160540060438
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Journal of the Korean Dental Association
2016 Volume.54 No. 6 p.438 ~ p.446
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Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition
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Jung Ji-Hye
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Abstract
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Severe tooth wear may cause the pathologic change of the TMJ and masticatory muscles, unesthetic facial appearance, pathogenic pulp and occlusal disharmony. Treating patients with severely worn dentition often requires full mouth rehabilitation with increasing vertical dimension. Proper diagnosis and treatment planning are important for esthetic and functional definitive restorations and the long term stability of the neuromuscular system and the TMJ.
In this case, 66 year-old female presented with generalized worn dentition. Based on assessment, pathologic destruction of teeth structure on entire dentition was caused by masticatory force and diet habit without loss of vertical dimension. Subsequently, 3 mm increase of vertical dimension that based on incisor for tooth restoration and esthetic improvement was determined. After 8 weeks stabilization period with temporary fixed prostheses, definitive prostheses were fabricated. After 6 months follow up period, satisfactory outcomes were attained both functional and esthetic aspects through this procedure.
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KEYWORD
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Full mouth rehabilitation, Tooth wear, Vertical dimension
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