The Journal of Indian Prosthodontic Society

CATEGORY: CASE REPORT
Year
: 2020  |  Volume : 20  |  Issue : 5  |  Page : 29--30

Smile designing of worn out dentition with full mouth rehabilitation: A case report


Indrani Jatana 
 Adesh Institute of Dental Sciences & Research, Punjab

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How to cite this article:
Jatana I. Smile designing of worn out dentition with full mouth rehabilitation: A case report.J Indian Prosthodont Soc 2020;20:29-30


How to cite this URL:
Jatana I. Smile designing of worn out dentition with full mouth rehabilitation: A case report. J Indian Prosthodont Soc [serial online] 2020 [cited 2021 Feb 26 ];20:29-30
Available from: https://www.j-ips.org/text.asp?2020/20/5/29/306393


Full Text



Introduction: The decision whether to increase the vertical dimension or not is crucial and requires careful monitoring at intermediate stage. The temptation to jump to increase the vertical dimension directly using the final restorations should be avoided. Clinical evidences indicate that even severely worn occlusion do not lose vertical dimension

Methodology:. Hence proper evaluation and right diagnosis for need of increase in vertical dimension is mandatory. The detrimental effects of bite-raising are usually insidious. Great caution should be exercised before any “bite raising” procedure is undertaken as it directly affects the interocclusal rest space, the temporomandibular joint and the periodontium of the remaining teeth. this case was followed by Pankey Maan Schuler Phylosophy. Static coordinated occlusal contact of maximum number of teeth in CR Anterior guidance in harmony with mandibular movement Protrusion – disocclusion of all posterior teeth Group function during lateral excursion (working side) Balancing side - No contacts Keeping in mind this technique the case was treated

Conclusion: This case report describes diagnosis and treatment planning of a worn out dentition with raising vertical dimension. Patients with occlusal wear ,may require extensive restorative treatment to regain appropriate function, esthetics, comfort and maintain the health of the temporomandibular joint.