Interdisciplinary Management of Oral Rehabilitation of a Patient with Loss of Vertical Dimension
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Abstract
Introduction: Restoration of Vertical dimension of occlusion (vdo), also known as occlusal vertical dimension, or ovd, is one of the most common treatment options when rehabilitating a patient with multiple dental wear. Objective: To restore a case of corrected vdo by complete oral rehabilitation with the help of prosthodontics, periodontics and endodontics. Case presentation: A 62-year-old female patient is presented, whose reason for consultation was: "my teeth are too small and I can't eat comfortably". Severe generalised wear, missing teeth, and misaligned restorations were diagnosed. The treatment was divided into 4 phases: In phase 1 the necessary diagnostic studies were taken and foci of infection were removed. In phase 2 provisionalisation of the patient was carried out. During phase 3 (surgical phase), crown lengthening was performed in the anterior sector, followed by implant placement. Phase 4: All final restorations were made. Finally, an increase in the vertical dimension (3 mm), occlusal stability with aesthetic, biological and functionally adequate restorations were obtained. Conclusions: The diagnosis and interdisciplinary treatment plan are of utmost importance to obtain excellent results in the oral rehabilitation of a patient with generalised severe wear.
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References
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