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KMID : 1004520100260020145
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Journal of Dental Rehabilitation and Applied Science
2010 Volume.26 No. 2 p.145 ~ p.156
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Full Mouth Rehabilitation in a Patient with Limited Restorable Space
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Lim Kwang-Gil
Kim Dae-Gon
Cho Lee-Ra
Park Chan-Jin
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Abstract
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Loss of posterior support may cause overloading and excessive wear of remaining teeth. Moreover, the extrusion of
antagonistic teeth leads to the destruction of the occlusal plane. The loss of vertical dimension of occlusion (VDO) also
emerges clinically, which may bring the loss of esthetic appearance and function. These patients who suffer from the loss
of posterior support, often require vigorous periodontal treatments (osteotomy, crown lengthening) and extensive oral
rehabilitation. Sixty three years old female patient visited for the prosthetic treatment of the posterior edentulous area. She had no other systematic disease and parafuctional habits for prosthetic treatment. Intraoral and radiographic examinations were done. The evaluation of VDO and vertical dimension of rest position were evaluated for proper prosthetic procedures and diagnostic wax up was done. As a result of diagnosis, VDO was increased by 2 mm considering the loss of VDO and space for the prosthetic treatment. After the pretreatments, initial preparation of teeth and provisionalization were carried out. Six weeks later of provisionalizaion, final preparation and impression was performed. Using the duralay resin copings, jaw relation was registered. The master cast was mounted and definitive restoration was fabricated. After the evaluation of
esthetic and function, pick up impression for clinical remounting was done. Lucia jig was made for new jaw relation and
occlusal adjustment on the articulator. Definitive restoration was delivered and the patient was periodically recalled for
additional occlusal adjustment. From this case, the satisfactory functional and esthetic results through full mouth
rehabilitation with increase vertical dimension were achieved.
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KEYWORD
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full mouth rehabilitation, vertical dimension
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