Oral Rehabilitation in a Patient with Decreased Vertical Dimension, Integrating CAD/CAM Technology. Case Report
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Abstract
Introduction: The vertical dimension is the distance between two anatomical points, taking as reference, in this particular case, the tip of the nose and the chin. On the other hand, the vertical dimension of occlusion and the vertical dimension at rest are measurements in a vertical sense taking into account the frontal plane that constitutes the relationship between the maxilla and the mandible. Objective: To describe the case of oral rehabilitation of a patient with decreased vertical dimension who obtained the restoration of the proper functions of the stomatognathic system through different treatments. Case presentation: A 73-year-old female patient, asa II classification, controlled diabetic, with the reason for consultation: “I want you to make a prosthesis for me.” The patient presented partial edentulism in both arches, coupled with a decrease in the vertical dimension. An analysis of the increase in occlusal and resting vertical dimension with upper and lower bases and rollers was completed, to subsequently perform a diagnostic wax-up on teeth 14, 15, 24, 34, 35, 44, 45 and 31 to 43 and to be able to propose the following treatment plan: monolithic zirconia crowns on premolars, injected resin veneers on mandibular anterior and upper and lower acrylic partial prostheses. Conclusions: Understanding the concept of vertical dimension and knowing its limitations and competencies allows us to offer the best treatment to the patients according to their needs. Besides, current digital technology brings multiple benefits to restorative dentistry, in addition to providing greater accuracy and precision to the work performed.
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References
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