Aesthetic and functional rehabilitation in teeth with attrition and restoration of vertical dimension due to loss of posterior occlusal support: Case report
Keywords:
Prosthetic rehabilitation, Esthetics, Dental, vertical dimension, Oclusión Dental.Abstract
A esthetic and functional rehabilitation is considered the maximum objective of any dental treatment, with a sustained and updated scientific base, always seeking a complete and comprehensive diagnosis, focused on presenting a treatment plan according to comprehensive needs of the patient, executed in a conscious way with an established multidisciplinary approach, with foundations based on constant dialogue between the professional, the patient and the dental technician. The objective of this report is to describe step by step the clinical stages of a multidisciplinary treatment which is based on prior diagnosis and planning; looking for the interaction of different specialties: periodontics, oral rehabilitation, aesthetic dentistry, occlusion, and an integral work with the dental laboratory, to achieve the stability of periodontal and dental tissues. Thus recovering the masticatory function and obtaining an acceptable aesthetic result to achieve the aesthetic and functional satisfaction that the patient sought. A 54-year-old female patient, systemically compromised, with previous pathologies, with the absence of teeth, long edentulous spaces, dental attrition, loss of vertical dimension and functional and aesthetic alterations. With a strict regime of established protocols, what was planned was fulfilled. The success of the treatment was based on: 1) maintaining the stability of dental periodontal and bone tissues. 2) recovery of masticatory function and return the vertical dimension; 3) obtaining an acceptable aesthetic result; 4) aesthetic and functional satisfaction of the patient.
Downloads
References
Alzoubi F, Bedrossian E, Wong A, Ferrell D, Park C, Indresano T. Outcomes Assessment of Treating Completely Edentulous Patients with a Fixed Implant-Supported Profile Prosthesis Utilizing a Graftless Approach. J Coll Physicians Surg Pak. 2017; 32(5):1080-1085.
Akhtar Q, Danyal S, Zareen S, Ahmed B, Maqsood M, Azad AA. Clinical Evaluation of Proximal Contact Points in Fixed Prostheses. J Coll Physicians Surg Pak. 2015; 25(9):702-4.
Chou JC, Thompson GA, Aggarwal HA, Bosio JA, Irelan JP. Effect of occlusal vertical dimension on lip positions at smile. J Prosthet Dent. 2014;112 (3):533-9.
Kizilova N, Geramy A, Romashov Y. Biomechanical analysis of asymmetric mesio-distal molar positions loaded by a symmetric cervical headgear. Acta Bioeng Biomech. 2016; 18(4):97-106.
Reimann Ł, Żmudzki J, Dobrzański LA. Strength analysis of a three-unit dental bridge framework with the Finite Element Method. Acta Bioeng Biomech. 2015; 17(1):51-9.
Santos F , Branco A, Polido M, Serro AP, Figueiredo-Pina CG. Comparative study of the wear of the pair human teeth/Vita Enamic® vs commonly used dental ceramics through chewing simulation. J Mech Behav Biomed Mater. 2018: 20 (88):251-260.
Sasaki K, Yamamoto T, Ikawa T, Shigeta Y, Shigemoto S, Ando E, et al. Pre-endodontic Post and Core Technique for Endodontic and Prosthodontic Treatment. J Contemp Dent Pract. 2018; 19(1):117-122.
Sarver DM. Interactions of hard tissues, soft tissues, and growth over time, and their impact on orthodontic diagnosis and treatment planning. Am J Orthod Dentofacial Orthop. 2015; 148(3):380-6.
Sutter BA. Incidence of headaches related to occlusion and bite force imbalance: a case study. Cranio. 2015; 23(1):1-5.
Tezulas E, Yildiz C, Evren B, Ozkan Y. Clinical procedures, designs, and survival rates of all-ceramic resin-bonded fixed dental prostheses in the anterior region: A systematic review. J Esthet Restor Dent. 2018: 16
Ülkü SZ, Acun Kaya F, Uysal E, Gulsun B. Clinical Evaluation of Complications in Implant-Supported Dentures: A 4-Year Retrospective Study. Med Sci Monit. 2017; 23(1):6137-6143.
Ward DH. Proportional Smile Design: Using the Recurring Esthetic Dental Proportion to Correlate the Widths and Lengths of the Maxillary Anterior Teeth with the Size of the Face. Dent Clin North Am. 2015; 59(3):623-38.
Nomura Suzy, Freitas Karina Maria Salvatore. Evaluation of the attractiveness of different gingival zeniths in smile esthetics. Dental Press J. Orthod. 2018; 23(5): 47-57.
Tallarico M, Caneva M, Baldini N. Patient-centered rehabilitation of single, partial, and complete edentulism with cemented- or screw-retained fixed dental prosthesis: The First Osstem Advanced Dental Implant Research and Education Center Consensus Conference 2017. Eur J Dent. 2018; 12(4):617-626.
Hüttig F, Keitel J, Prutscher A, Spintzyk S, Klink A. Fixed Dental Prostheses and Single-Tooth Crowns Based on Ceria-Stabilized Tetragonal Zirconia/Alumina Nanocomposite Frameworks: Outcome After 2 Years in a Clinical Trial. Int J Prosthodont. 2017; 30(5):461–464.
Nicolaisen M, Bahrami G, Schropp L, Isidor F. Functional and Esthetic Comparison of Metal-Ceramic and All- Ceramic Posterior Three-Unit Fixed Dental Prostheses. Int J Prosthodont. 2016; 29(5):473-81
Downloads
Published
Issue
Section
License
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) posterior al proceso de aprobación del manuscrito, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada.












