Diagnosis and Management of Occlusal Wear: A Case Report

Abstract

The rationale for doing full mouth rehabilitation are, when occlusal forces become traumatic hampering the health of periodontal tissues, extensive occlusal diseases, trauma, temporomandibular joint disease and congenital disorders with malformed dentition. Literature exposes that full mouth fixed rehabilitation is one of the taxing procedures in the field of Prosthodontics. A critical aspect for successful occlusal rehabilitation is to determine the aetiology, correct sequence of treatment and most importantly the occlusal vertical dimension and centric relation in which to plan the treatment. A systematic approach in managing these patients can lead to a predictable and favourable prognosis. This article presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and follow-up, of a bruxer patient with severely worn dentition.

Comparative evaluation of the depth of curve of Spee between individuals with normal dentition and individuals with occlusal wear using conventional and digital software analysis techniques: An in vivo study

“…Frictional tooth wear alters the existing occlusal plane introducing deflective occlusal interferences. [6] As age progresses, changes in the inclination of the occlusal surface of the tooth with wear have been described, and this wear may be due to physiologic wear or pathologic wear. If the curve of Spee is not restored in the worn dentition, then prosthetic teeth will not be aligned along it.…”

Full Mouth Rehabilitation for a Patient With Generalized Attrition: The Hobo Technique in Action

“…To fortify preventive and restorative care, it is crucial to identify the cause of wear before intervention [ 9 ]. Various assessment methods, including phonetics, aesthetics, and interocclusal distance evaluation, prove invaluable in confirming VDO loss [ 10 ]. In the specific case under consideration, a meticulous examination uncovered a significant 4mm loss in VDO.…”

Reliability of qualitative occlusal tooth wear evaluation using an intraoral scanner: A pilot study

“…Tooth wear has been commonly related to the aging process and to the type of diet typically associated with remote indigenous populations, groups that had little or no interaction with modern society [ 12 ], as well as increasing levels of tooth wear are significantly related to aging processes in general populations, as it was observed in a previously published systematic review [ 13 ]. Additionally, excessive wear can cause dental sensitivity, irreversible pulpal damage, loss of vertical dimension of occlusion, and damage to facial aesthetics, the stomatognathic system and the dental organ [ 14 ].…”