Oral rehabilitation of severely worn dentition using an overlay for immediate re-establishment of occlusal vertical dimension

Gerodontology
Amilcar Chagas FreitasJuliana Ribeiro Pala Jorge de Aguiar

Abstract

The aim of this study was to describe the treatment used in an elderly patient presenting with bruxism and dental erosion, with good gingival health and bone support, but with decreased occlusal vertical dimension (OVD). The oral rehabilitation of elderly patients presenting with bruxism in association with tooth erosion has been a great challenge for dentists. The loss of OVD, the presence of occlusal instability and the absence of an effective anterior guide due excessive dental wear, can damage stomatognathic system (SS) biology, the function and the aesthetics. In the first treatment stage, an overlay removable partial denture (ORPD) was fabricated for the immediate re-establishment of function and aesthetics. After a 2-month follow up, with the patient presenting no symptoms, a second rehabilitation stage was accomplished, with fixed and removable prostheses. Oral rehabilitation with an ORPD was able to re-establish the SS biology, but a correct diagnosis and treatment plan are essential for success. The ORPD is a non-invasive and reversible restoring modality for general dentists that allow the re-establishment of the patient's immediate aesthetics and function at low cost.

References

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Citations

Jul 22, 2014·Journal of Bodywork and Movement Therapies·Analúcia Ferreira MarangoniSandra Kalil Bussadori
Jan 8, 2014·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Nurit BeythAnat Buller Sharon
Sep 25, 2014·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Shuichiro YamashitaHidenori Katada
Jun 6, 2012·Brazilian Dental Journal·César BataglionCarlos Ventura de Oliveira Ruellas
Jul 17, 2013·Journal of Applied Oral Science : Revista FOB·José Alberto de Souza FreitasJoão Henrique Nogueira Pinto
Mar 31, 2021·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Gary GoldsteinKimberly MacGregor
Oct 10, 2021·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Gary Goldstein, Stephen Campbell

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