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KMID : 1004520140300040315
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Journal of Dental Rehabilitation and Applied Science
2014 Volume.30 No. 4 p.315 ~ p.323
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Full mouth rehabilitation with vertical dimension elevation in the patient with severely worn dentition: case report
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Lee Eun-Jee
Shin Soo-Yeon
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Abstract
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Excessive teeth abrasion causes pathologic changes of oral environment and masticatory system due to decrease in occlusal vertical dimension. When establishing new occlusal plane and recovering vertical dimension, accurate diagnosis and analysis are essential. In this case, after appropriate centric relation in elevated vertical dimension was taken using Gothic arch tracer, full mouth rehabilitation was performed. A 70-year-old male patient had the chief complaint that he could not eat due to teeth wear. He showed generalized teeth wear and decreased vertical dimension. Elevation of vertical dimension was planned by model analysis. According to increased vertical dimension, centric relation was recorded using Gothic arch tracer and temporary prostheses were applied. Appropriate occlusion was established by temporary prostheses for 4 months. Final prostheses were fabricated using vertical dimension adapted by temporary prostheses. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.
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KEYWORD
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full mouth rehabilitation, occlusal vertical dimension, tooth wear, attrition, masticatory abrasion, Gothic arch tracer
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