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Article in Korean | WPRIM | ID: wpr-742089

ABSTRACT

Severe dental attrition causes pathological changes of the tooth, collapsed occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension. Before increasing the vertical dimension with full-mouth rehabilitation, it is important to determine the amount of vertical dimension through accurate diagnosis. In this case, a 77 year old elderly male patient on anticoagulant medication with generalized attrition and fracture of teeth was treated with full-mouth rehabilitation in order to recover vertical dimension and aesthetics. Accurate clinical and radiographic examination, diagnostic, wax-up, and occlusal vertical dimension evaluation were step by step performed considering pre-medical history and old age. Patient adaptability was evaluated using an occlusal splint and interim restoration. After 3 months of stabilization with interim restoration, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes are observed after 6 months of follow up.


Subject(s)
Aged , Humans , Male , Dentition , Diagnosis , Esthetics , Follow-Up Studies , Mouth Rehabilitation , Mouth , Occlusal Splints , Prostheses and Implants , Rehabilitation , Tooth , Tooth Attrition , Vertical Dimension
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