ABSTRACT

Full mouth rehabilitation of a patient is challenging. It does not only rehabilitate the teeth, it also maintains a healthy stomatognathic system. To define the goals of treatment the various biological, functional and structural factors must be considered. A fully functional and biologically stable state between the teeth, the periodontal structures, the muscles of mastication as well as the temporomandibular joint is obtained. All these mechanisms function together in synchronous harmony. Thus, a thorough approach is necessary to achieve the ideal outcome. Tooth wear can be physiological as well as a pathological change in the tooth shape and form due to trauma, grinding, excessive clenching or developmental changes. The vertical dimension of occlusion is generally maintained by the tooth eruption and the alveolar bone growth. As the teeth wear the alveolar bone adapts and compensates for the loss of tooth structure to maintain the vertical dimension of occlusion. Patients with generalized attrition most often complain of generalized sensitivity, pain in the muscles of mastication on chewing, clenching and grinding of teeth etc. In such cases there is excessive loss in vertical dimension. Thus, a full mouth rehabilitation is suggested as a definitive treatment plan for the patient. This case report details the full mouth rehabilitation of a patient with severely worn teeth. Keywords: full mouth rehabilitation, Bruxism, metal ceramic crowns, vertical dimension
Publication date: 1/1/21

https://ijbpas.com/pdf/2021/January/MS_IJBPAS_2021_5328.pdf

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https://doi.org/10.31032/IJBPAS/2021/10.1.5328