Appropriate Planning, thorough Examinations and Decent Implementations for a Predictable Prognosis in the Management of a Severely Worn Dentition: A Case Report

Authors

  • SMA Ghani Head, Centre for Restorative Dentistry Studies, Faculty of Dentistry, Universiti Teknologi MARA, 40450 Shah Alam, Selangor, Malaysia
  • G Lillywhite Consultant, Restorative Department, Edinburgh Dental Institute, Edinburgh, United Kingdom

DOI:

https://doi.org/10.24191/cos.v1i0.17532

Keywords:

crown lengthening, locating impressions, occlusal vertical dimension, tooth wear, silver dies

Abstract

The management of patients with severely worn dentition is challenging due to the loss of occlusal vertical dimension and tooth structure creating an uneven plane of occlusion. This case report describes the importance of every step of the conventional and improvised methods in treating tooth wear patients. Stages from the initial work-up of tooth wear assessment, substantial surgical crown lengthening, the controlled method of increasing vertical dimension, the precise method of crown preparations, advanced impression techniques till the cementation procedure of final restorations. The whole treatment was in a reorganized approach such that the new inter-cuspal position (ICP) coincided with the retruded axial position (RAP). When restoring worn dentition, clinician should always have a proper planning, decent implementation for each stages thus guarantee excellent performances. However maintenance and recall visits are the main keys to long term success.

Compendium of Oral Science Cover 2014

Downloads

Published

2014-09-01

How to Cite

Ghani, S., & Lillywhite, G. (2014). Appropriate Planning, thorough Examinations and Decent Implementations for a Predictable Prognosis in the Management of a Severely Worn Dentition: A Case Report. Compendium of Oral Science, 1, 32–41. https://doi.org/10.24191/cos.v1i0.17532

Issue

Vol. 1 (2014): Compendium of Oral Science

Section

Case Report

License

Copyright (c) 2024 Compendium of Oral Science

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Materials contained in the journal may be reproduced for educational purposes provided that both the author(s) and the journal are appropriately recognised; otherwise duplication is not permitted. No articles, reports, or portions there of may be translated into other languages, published in books, journals, magazines, or any other print form without written permission from the authors and from the journal.

Disclaimer: The statements, opinions and data expressed in the articles and reports herein are those of the author(s) and not of the publisher and the editor(s). The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any schemes, methods, instructions or ideas referred to in the content.