scholarly journals Influence of Occlusal Vertical Dimension and Labiolingual Position of Artificial Anterior Teeth in Complete Dentures on the Facial Appearance

2006 ◽  
Vol 5 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Atsushi Suzuki ◽  
Tetsuya Suzuki ◽  
Iwao Hayakawa
2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
André Moreira ◽  
Filipe Freitas ◽  
Duarte Marques ◽  
João Caramês

Management of severe worn dentition in patients with bruxism is challenging as a result of the loss of tooth structure and occlusal vertical dimension, temporomandibular implications, tooth hypersensitivity, and masticatory or aesthetic impairment. This case describes the 4-year follow-up clinical evaluation of a full mouth tooth-supported rehabilitation made on a 66-year-old man with bruxism and tooth wear, with aesthetic complaints and compromised masticatory function. The prosthetic treatment was planned with a digital smile design and a mock-up technique for an aesthetic and minimally invasive approach using lithium disilicate pressed and layered veneers on anterior teeth, posterior CAD/CAM lithium disilicate overlays with facial coverage, and CAD/CAM monolithic zirconia crowns with facial feldspathic ceramic on maxillary and mandibular canines and first molars in order to ensure the occlusal stability at the increased occlusal vertical dimension. After 4 years of function, no complications were registered. The choice of an appropriate material for the rehabilitation of these patients is essential to improve treatment prognosis and should be guided by mechanical and aesthetical properties. The use of four-point occlusal stabilization with CAD/CAM high strength monolithic zirconia crowns combined with ceramic veneers and overlays appears to be a reliable treatment option that enhances aesthetics and minimizes the occurrence of ceramic fractures, ensuring the treatment prognosis and predictability.


2020 ◽  
Vol 1 (2) ◽  
pp. 40-45
Author(s):  
Dewan Harisha ◽  

Severe morphological changes and the reduction of the residual ridge in old denture wearers can pose major challenges like providing optimum retention, stability, support and restoring the lost vertical dimensions in the new dentures. In addition, wearing such dentures with decreased or poor function can impair mastication and lead to harmful effects on the nutritional status of the patients. A rehabilitation device, often called a transitional denture or pre-definitive treatment prosthesis often provides a fine springboard from which to construct the second set of dentures. The present case report describes a method to restore the lost occlusal vertical dimension with a pre-definitive treatment prosthesis using the old complete dentures for a patient for him to adapt to the changes before the fabrication of the new complete dentures.


2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.


2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.


2021 ◽  
Vol 76 (09) ◽  
pp. 517-523
Author(s):  
Sibusiso Rockfort Mthethwa ◽  
Lesibana Godfrey Maguga

The movement of teeth during processing of complete dentures disturbs the harmonious occlusal scheme established at the final wax try-in stage. Aims and objectives: to investigate the effect of RS flask closure on occlusal vertical dimensions of complete dentures. The mean occlusal vertical dimension of complete maxillary and mandibular dentures fabricated by the conventional flask closure were measured and compared with that of dentures fabricated by RS flask closure. Design: A pre-test post-test control group experimental design. Methods: Thirty sets of complete maxillary and mandibular wax trial dentures were randomly assigned to experimental groups. Fifteen sets were assigned to conventional flask closure and the remainder to RS flask closure. Compression molding with a long curing cycle was performed for the processing of the dentures. Pre-processing and post-processing occlusal vertical dimensions were determined. Results: The mean occlusal vertical dimensions of wax trial dentures assigned to either group were similar. The data produced substantial evidence to reject the null hypothesis that the post-processing mean occlusal vertical dimensions of both groups were equal. Conclusion: The occlusal vertical dimensions produced by dentures clamped by the RS flask closure were significantly less than those produced by dentures clamped by the conventional flask closure. 


2002 ◽  
Vol 13 (3) ◽  
pp. 197-200 ◽  
Author(s):  
Débora Barros Barbosa ◽  
Marco Antonio Compagnoni ◽  
Cláudio Rodrigues Leles

This study investigated the effect of different microwave curing cycles on the changes in occlusal vertical dimension of complete dentures. Four test groups with 12 maxillary dentures each were evaluated. Groups 1, 2 and 3 were polymerized with different cycles by microwave radiation and Group 4 was the control and cured by water bath. The average pin opening for all groups was less than 0.5 mm. There was no significant difference between the groups polymerized by the microwave method and the control group. However, analyses of the vertical dimension changes showed statistically significant differences between groups 2 (0.276 ± 0.141 mm) and 3 (0.496 ± 0.220 mm).


Author(s):  
Ece İrem Oğuz ◽  
Semih Berksun

Rehabilitation of worn dentition is a challenging task because several predisposing factors may be included in the pathogenesis. The treatment options and process should be carefully considered based on the clinical condition and patients’ requirements. This case report represents the esthetic rehabilitation of a 68-year-old patient who exhibited severely worn teeth caused by attrition and erosion. After clinical evaluation, 3 mm increase in occlusal vertical dimension was planned with partial lithium-disilicate ceramic restorations as laminate veneers for anterior teeth and vonlays (onlays with veneer extentions) for posterior teeth in maxilla. The adaptation of the patient to the increased occlusal vertical dimension was tested for 1 month by provisional direct composite restorations. As the patient did not show any discomfort, definitive restorations were completed. The patient was satisfied with the esthetics and functionality of her new dentition.


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