Removable occlusal overlay splint in the management of tooth wear: A clinical report

Reestablishment of occlusion through overlay removable partial dentures: a case report

“…The mandibular cast was mounted in centric relation using Lucia's jig. Clinical determination of the VDO was achieved by the use Willis compass and registered on Lucia's jig (7). The interocclusal space measured was 10 mm, hence, the worn teeth were restored in such a way as to increase the VDO by 7.0 mm and thereby leaving 3.0 mm of interocclusal space.…”

“…A treatment option may be the overlay removable partial denture (ORPD), which is a prosthesis that covers and rests on one or more natural teeth, the roots of the natural teeth (5)(6)(7)(8)(9)(10). This paper reports a clinical situation in which an ORPD was used to treat teeth with severe wear and absence posterior occlusal support.…”

Prosthodontic Rehabilitation with Onlay Removable Partial Denture: a Case Report

“…3 Besides, it can also be used as a definitive prosthesis to re-establish vertical dimension and achieve stable occlusion. 2,4 Some clinicians prefer to have fixed restorations in increasing OVD instead of removable prostheses due to predictable patient's comfort and adaptation. However, the efficacy, simplicity, reversibility, conservative and low cost of RPD has enhanced its use widely.…”

“…Altered OVD can be accessed through several clinical examinations such as loss of posterior teeth, signs of tooth wear, phonetic evaluation, interocclusal distance and facial appearance of drooping commissures. 4 A reduced OVD from tooth wear and loss of posterior support is always a challenge to the dental operator due to limited interocclusal space for restorations. Hence, one of the management to such problem includes increase in OVD and it should be approached with caution as it may result in harmful consequences such as hyperactivity of masticatory muscles, elevation in occlusal forces, bruxism and temporomandibular disorder.…”

Management of generalized attrition with an overlay removable partial denture for restoration of the OVD–a new treatment option

“…Tooth surface loss (TSL) has been classified as the following types (1) erosion: loss of tooth surface by chemical processes not involving bacterial action. (2) attrition: tooth structure loss by wear of tooth or restoration surface caused by tooth to tooth contact during functional or parafunctional activity of the teeth and (3)abrasion: loss of tooth surface caused by the frictional action of a foreign substance on the teeth (other than tooth-to-tooth contact), such as that caused by tooth brushing [6,7,8]. Several changes take place in the relationship of the teeth as they wear: Flat occlusal contacts create lack of stability, reduced clinical crown height, and the exposure of large areas of dentin that may limit the use of conservative adhesive techniques.…”