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Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report.

Zeighami S, Siadat H, Nikzad S - Case Rep Dent (2015)

Bottom Line: Correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records are critical for successful treatment.In order to achieve a predictable and desirable result, a systematic approach may be helpful.We ensured stable contacts on all teeth with equal intensity in centric relation and anterior guidance in accord with functional jaw movements.

View Article: PubMed Central - PubMed

Affiliation: Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT
Tooth wear is attributed to several factors many of which often remain unidentified. Management of tooth wear is challenging in preventive and restorative dentistry. Correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records are critical for successful treatment. In order to evaluate different treatment modalities and select the treatment of choice some information can be obtained from study casts and diagnostic wax-up. In order to achieve a predictable and desirable result, a systematic approach may be helpful. This paper describes the full mouth rehabilitation of a 36-year-old bruxer with severely worn dentition and other dental problems such as unfavorable restorations. A diagnostic work-up was performed and provisional restorations were made; then, they were clinically evaluated and adjusted based on the criteria dictating esthetics, phonetics, and vertical dimension. After endodontic therapy, clinical crown lengthening was performed. Two short implants were inserted in the posterior mandible. Custom-cast dowel cores and metal-ceramic restorations were fabricated and a full occlusal splint was used to protect the restorations. We ensured stable contacts on all teeth with equal intensity in centric relation and anterior guidance in accord with functional jaw movements.

No MeSH data available.


Related in: MedlinePlus

Prepared teeth before impression making.
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Related In: Results  -  Collection


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fig3: Prepared teeth before impression making.

Mentions: After 4 months a screw type provisional restoration using temporary abutments for each implant was made. After adjusting provisional restorations, hydrocolloid impressions were made from provisional restorations and casts were transferred to the Denar Mark II articulator (Whip Mix Corporation, Louisville KY, USA) using the Denar Slidematic facebow (Whip Mix Corporation, Louisville KY, USA) and CR record. Adjusted occlusion was transferred to customized anterior guide table, which was made with acrylic resin (Pattern Resin LS, GC America, ALSIP, IL, USA). Before this procedure, condylar guidance was adjusted by lateral interocclusal records made with wax wafers (Cavex Setup Regular Modelling Wax, Cavex Holland BV, Haarlem, Netherlands). After completion of teeth preparations (Figure 3), the final impressions were made with 2-step impression technique (Putty and light body impression materials) (Speedex, Coltene AG, Altstatten, Switzerland) in a stock tray.


Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report.

Zeighami S, Siadat H, Nikzad S - Case Rep Dent (2015)

Prepared teeth before impression making.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4502311&req=5

fig3: Prepared teeth before impression making.
Mentions: After 4 months a screw type provisional restoration using temporary abutments for each implant was made. After adjusting provisional restorations, hydrocolloid impressions were made from provisional restorations and casts were transferred to the Denar Mark II articulator (Whip Mix Corporation, Louisville KY, USA) using the Denar Slidematic facebow (Whip Mix Corporation, Louisville KY, USA) and CR record. Adjusted occlusion was transferred to customized anterior guide table, which was made with acrylic resin (Pattern Resin LS, GC America, ALSIP, IL, USA). Before this procedure, condylar guidance was adjusted by lateral interocclusal records made with wax wafers (Cavex Setup Regular Modelling Wax, Cavex Holland BV, Haarlem, Netherlands). After completion of teeth preparations (Figure 3), the final impressions were made with 2-step impression technique (Putty and light body impression materials) (Speedex, Coltene AG, Altstatten, Switzerland) in a stock tray.

Bottom Line: Correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records are critical for successful treatment.In order to achieve a predictable and desirable result, a systematic approach may be helpful.We ensured stable contacts on all teeth with equal intensity in centric relation and anterior guidance in accord with functional jaw movements.

View Article: PubMed Central - PubMed

Affiliation: Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

ABSTRACT
Tooth wear is attributed to several factors many of which often remain unidentified. Management of tooth wear is challenging in preventive and restorative dentistry. Correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records are critical for successful treatment. In order to evaluate different treatment modalities and select the treatment of choice some information can be obtained from study casts and diagnostic wax-up. In order to achieve a predictable and desirable result, a systematic approach may be helpful. This paper describes the full mouth rehabilitation of a 36-year-old bruxer with severely worn dentition and other dental problems such as unfavorable restorations. A diagnostic work-up was performed and provisional restorations were made; then, they were clinically evaluated and adjusted based on the criteria dictating esthetics, phonetics, and vertical dimension. After endodontic therapy, clinical crown lengthening was performed. Two short implants were inserted in the posterior mandible. Custom-cast dowel cores and metal-ceramic restorations were fabricated and a full occlusal splint was used to protect the restorations. We ensured stable contacts on all teeth with equal intensity in centric relation and anterior guidance in accord with functional jaw movements.

No MeSH data available.


Related in: MedlinePlus