Full mouth reconstruction of a patient with worn dentition: a clinical report

ABSTRACT

The attrition of anterior teeth leads to the loss of efficient anterior guidance, which protects posterior teeth from wear during lateral excursions. This clinical report describes a 48-year-old man with diagonal tooth wear and posterior mandibular tooth loss. The clinical diagnosis was based on a complete oral examination, photos, functional analysis of lateral excursion movements, general health condition and behavioral aspects such as diet and bruxism. A mandibular partial overlay denture was used to reestablish the occlusal plane after the decision of restoring the vertical dimension of occlusion [OVD] by anatomical landmarks and physiological measurements. Once the compatibility of new OVD was approved and accepted, and followed for six months, fixed implant and tooth supported restorations were fabricated