Functional and Esthetical Full Mouth Rehabilitation of a Patient with Severely Worn Dentition: A Clinical Report

Abstract

Full mouth restoration of the severely worn teeth represents a significant clinical challenge to a Prosthodontist. Tooth wear has intrigued restorative dentists due to its multifactorial etiology. Loss of tooth structure may occur through noncarious processes like abrasion, attrition, erosion and possibly abfractions, acting alone or in combination. This case report describes a 48-year-old male, who had sensitivity of anterior teeth and teeth wear. There was an aesthetically and functionally compromised tooth with reduction of the vertical dimension. Vertical dimension was increased by permissive occlusal splint by Niswonger's method, Silverman closest speaking method and patient was monitored for adaptation of removable occlusal splint. Once the patient was adapted the new vertical dimension, interim fixed restoration and the permanent restoration construction was initiated. In this case report a satisfactory clinical result was achieved by restoring worn out surface with an improvement in aesthetics and function.