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

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...

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Main Authors: Somayeh Zeighami, Hakimeh Siadat, Sakineh Nikzad
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/531618
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author Somayeh Zeighami
Hakimeh Siadat
Sakineh Nikzad
author_facet Somayeh Zeighami
Hakimeh Siadat
Sakineh Nikzad
author_sort Somayeh Zeighami
collection DOAJ
description 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.
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spelling doaj-art-e2593349b5f6460f9eae99db2b7d1a2c2025-02-03T01:24:58ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/531618531618Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical ReportSomayeh Zeighami0Hakimeh Siadat1Sakineh Nikzad2Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranDental Implant Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranDental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranTooth 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.http://dx.doi.org/10.1155/2015/531618
spellingShingle Somayeh Zeighami
Hakimeh Siadat
Sakineh Nikzad
Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report
Case Reports in Dentistry
title Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report
title_full Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report
title_fullStr Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report
title_full_unstemmed Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report
title_short Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report
title_sort full mouth reconstruction of a bruxer with severely worn dentition a clinical report
url http://dx.doi.org/10.1155/2015/531618
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AT sakinehnikzad fullmouthreconstructionofabruxerwithseverelyworndentitionaclinicalreport