PROSTHETIC REHABILITATION OF MISSING POSTERIOR TEETH, SEVERE ATTRITION, AND VERTICAL DIMENSION LOSS

Poyraz E., Kibar A. T., Nalbant A. D.

29th Congress of Balkan Stomatological Society, Belgrade, Sırbistan, 24 - 26 Nisan 2025, ss.256, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Belgrade
  • Basıldığı Ülke: Sırbistan
  • Sayfa Sayıları: ss.256
  • Gazi Üniversitesi Adresli: Evet

Özet

OBJECTIVES: This case report presents the prosthodontic rehabilitation of a patient with vertical dimension loss, severe anterior attrition, and missing posterior teeth. The treatment plan aims to restore aesthetics, function, and occlusal balance by integrating both restorative and prosthetic approaches.

CASE REPORT: A 63-year-old female patient was admitted to our clinic with complaints of chewing difficulties, reduced vertical dimension, and dissatisfaction with her dental aesthetics. Clinical examination revealed severe anterior tooth wear, missing posterior teeth, and a reduced occlusal vertical dimension (OVD). To increase the OVD, endodontic access cavities were reopened in the maxillary anterior teeth, which were radiographically confirmed to have undergone root canal treatment. This approach aimed to enhance the retention of the restorative material used for crown lengthening, thereby ensuring the durability of the prosthetic rehabilitation. The patient’s maxillomandibular centric relation was measured, and the OVD was increased for optimal occlusal balance. Tooth preparations and silicone impressions were completed, and metal-ceramic crowns were temporarily cemented for one month to allow temporomandibular joints adaptation. Afterward, removable partial dentures (RPD) were fabricated for the missing posterior teeth. Fixed prostheses were permanently cemented, and final occlusal adjustments were made to achieve functional and aesthetic goals.

CONCLUSIONS: The prosthodontic rehabilitation successfully restored the patient's vertical dimension, occlusal balance, and aesthetics. The combination of crown lengthening, metal-ceramic crowns and removable partial dentures(RPD) provided functional and aesthetic advantages. The patient reported improved chewing function and overall satisfaction. This case shows a tailored, multi-step approach can address complex dental challenges effectively.

Keywords: vertical dimension loss, attrition, prosthetic rehabilitation, crown lengthening