Philosophies of full mouth rehabilitation: A systematic review of clinical studies

This is a case report presenting a female patient in her twenties suffering from severely stained, unaesthetic, and worn-out teeth since her childhood. It was a major aesthetic and functional concern for her. This clinical presentation describes the prosthetic rehabilitation of a patient with generalized discolored and worn-out teeth to have enhanced aesthetics and masticatory function of the patient. This is a referred case of dentinogenesis imperfecta- II (DGI-II) from the Department of Oral Medicine and Radiology and Oral Pathology, as diagnosed by them after a thorough clinical, radiographical, and histopathological examination. DGI is a disorder of teeth characterized by discoloration and rapid wear and belongs to a group of disorders of the development of teeth. Due to the rapid wear and generalized intrinsically stained and discolored teeth, there is a loss of vertical dimension of occlusion (VDO) and an unesthetic look of the patient respectively. Therefore, the main objective of the case report is to re-establish the aesthetic and regain the VDO and functionality of the damaged teeth using the Pankey Mann Schuyler philosophy in which the first anterior teeth were rehabilitated with porcelain fused to metal (PFM) crowns based on aesthetics and phonetics of the patient. This was followed by posterior PFM crowns based on Broadrick’s flag analysis for posterior occlusal plane determination and centric occlusion.

Section: Discussionmentioning

confidence: 99%

An Aesthetic and Economic Approach of Smile Designing for a Patient With Dentinogenesis Imperfecta: A Rare Case Entity

Kumar,

Chirom,

Nongthombam

et al. 2024

“…Generalized attrition is a common problem among older adults, leading to functional, esthetic, and occlusal concerns [ 3 ]. The restoration of lost tooth structure using PFM crowns is a viable option to restore the form and function of teeth while improving oral health and esthetics [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…This clinical report highlights the use of the Hobo twin-stage procedure to rehabilitate a patient suffering from generalized attrition and reduced vertical dimension of occlusion (VDO). The Hobo twin-stage technique creates anterior guidance to achieve a pre-planned and harmonious posterior disocclusion in line with the condylar path [ 3 , 4 ]. The treatment aimed to restore esthetics, function, and occlusion while improving the patient's oral health and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Reclaiming the Smile: Full Mouth Rehabilitation of a Generalized Attrition Patient Using the Hobo Twin-Stage Technique

Dadarwal¹,

Sharma²,

Sareen³

et al. 2023

This clinical report details the successful rehabilitation of a 63-year-old male patient with severe tooth wear, a reduced vertical dimension of occlusion, and esthetic concerns. The Hobo twin-stage procedure addressed these issues while improving the patient's oral health and quality of life. After ensuring adequate oral hygiene, the treatment began with scaling and root planning, followed by diagnostic impressions. An occlusal splint was fabricated, followed by a diagnostic wax-up and tooth preparation. Full-arch impressions of prepared teeth were made using the addition of silicon elastomeric impression material, and chairside provisional crowns were fabricated. The working casts were mounted on a semi-adjustable articulator, and the metal copings were tried on before being built up in porcelain. The patient achieved successful outcomes and expressed satisfaction with the treatment. The Hobo twin-stage technique and porcelain-fused-to-metal crowns can be viable approaches for restoring the teeth's form and function while enhancing the patient's oral health and esthetics. However, regular follow-up appointments and good oral hygiene maintenance are essential for the long-term success of the treatment.

“…Throughout the course of an individual's life, the occlusal surfaces of their teeth undergo a natural process of gradual erosion or wear [ 1 ]. This wear on tooth structure represents an irreversible condition, and when it reaches an excessive level, it can give rise to a host of dental issues.…”

Section: Introductionmentioning

confidence: 99%

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

Debbarma,

Sharma

2024

This case report addresses the critical issue of severe tooth wear and its impact on the vertical dimension of occlusion in a 75-year-old patient. The patient presented with worn-down teeth, chewing difficulties, and aesthetic concerns, prompting a comprehensive treatment plan utilizing the Hobo twin-stage technique. The approach involved careful diagnosis, root canal therapy, and the creation of provisional restorations, monitored through an occlusal splint. The prosthetic phase incorporated strategically designed porcelain-fused-to-metal crowns, aiming for optimal tooth alignment and balanced movement. The successful outcome not only restored function and aesthetics but also enhanced the patient's confidence. This case underscores the effectiveness of a systematic approach in managing severe tooth wear, emphasizing the importance of regular follow-ups and good oral hygiene for long-term success.