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IP Annals of Prosthodontics and Restorative Dentistry


Restoration of a worn-out dentition by removable and fixed prosthodontics – A case report


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Author Details: Ritika Bhambhani*,Santanu Sen Roy

Volume : 4

Issue : 3

Online ISSN : 2581-480X

Print ISSN : 2581-4796

Article First Page : 95

Article End Page : 99


Abstract

Purpose: Rehabilitating the worn out dentition has a significant role in general well-being of the patient. There are endless deteriorating effects of attrited teeth and it needs to be attended at the earliest to prevent extensive treatment plan. Every full mouth rehabilitation case brings with it new challenges to be dealt with. But the approach should finally lead us to one aim that is a healthy stomatognathic system.
Case presentation: This case report discusses restoration of oral health of a 58-year old gentleman who complains of missing teeth and was observed to show loss of occlusal vertical dimension (OVD) with attrited teeth. The patient was philosophical by his attitude and well informed of his dental status.  Rehabilitation involved fabrication of a maxillary cast partial denture, fixed prostheses for the lower missing teeth and composite build ups for anterior sextant where needed. The restorations included a reorganized approach to restore occlusion to group function with combination of fixed and removable prosthesis. The treatment was preceded by fabrication of a stabilization splint. The treatment results were satisfactory and follow up was continued for 6 month period with a revised emphasis on maintenance instructions.
Discussion: A full mouth rehabilitation is a challenging situation and customized in every case due to multiple needs of esthetics and function. This case was rehabilitated with a mixed approach of fixed and removable prosthodontics and with an aim of following de Van’s principle of preservation of the remaining.
Conclusions: A full mouth rehabilitation needs to be well evaluated and diagnosed before any irreversible procedures. The final outcome should provide esthetics and function of the newly established stable stomatognathic balance. The patient compliance plays a very important role in success of such a treatment. 

Keywords: Reorganized approach, Loss of OVD, Attrition of teeth, Rehabilitation, Cast partial denture

Doi :-https://doi.org/10.18231/2581-480X.2018.0026