Key Clinical Message: Regaining restorative space for fullmouth reconstruction in a patient with deep bite and worn dentition by conservative approach in current vertical dimension and also using minimally invasive concept is recommended.
Abstract: Full mouth reconstruction of a deep bite patient with severely worn dentition is a challenging situation for the prosthodontists. This study represents minimally invasive procedures in mentioned condition without increasing vertical dimension. After 3 years of follow up no complication was observed.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10682251 | PMC |
| http://dx.doi.org/10.1002/ccr3.8257 | DOI Listing |
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Some of the critical clinical challenges encountered in the treatment of adult patients with deep overbite and worn dentition include correction of deep overbite, establishment of an appropriate occlusal vertical dimension (OVD), and maintenance of long-term occlusal stability. Although Angle's Class II division 2-associated deep anterior overbite is common in orthodontic treatment, simple prosthodontic treatment with great improvement of deep anterior overbite and worn dentition is infrequently reported. A 51-year-old man with Class II Division 2 malocclusion presented with hypo-divergent facial pattern, reduced lower facial height, and protuberant lips.
View Article and Find Full Text PDFRehabilitation of the Worn Dentition With Direct and Indirect Minimally Invasive Concepts-A Systematic Review and Meta-Analysis.
J Esthet Restor Dent
December 2024
Clinic of Reconstructive Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.
Objective: To report and compare the survival of minimally invasive direct and indirect restorations of different materials for restoring the worn dentition.
Material And Methods: A systematic search was conducted in six databases: MEDLINE, Web of Science, Scopus, CENTRAL, VHL, and EMBASE. The eligibility criteria of this systematic review used the PICO framework to address the following research question: "In dentate patients with a worn dentition (P), does rehabilitating their lost tooth structure with indirect restorations (I) or direct (C) effect the survival and success of treatment (O)?".
Indirect Restorations for Increasing the Vertical Dimension of Occlusion.
J Esthet Restor Dent
December 2024
Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland.
Article Synopsis
- The article discusses a clinical case involving a 44-year-old woman suffering from erosive tooth wear due to bulimia and bruxism, focusing on restoring her vertical dimension of occlusion (VDO) using minimally invasive methods.
- After a period of therapy with a Michigan splint, the patient required full mouth prosthetic rehabilitation, leading to the decision to slightly increase her VDO by 1 mm.
- The treatment included creating thin lithium disilicate ceramic restorations for her teeth, demonstrating that effective and aesthetic restoration can be achieved with minimal invasiveness.
Relationship between tooth macrowear and jaw morphofunctional traits in representative hypercarnivores.
PeerJ
November 2024
Department of Biological Sciences and Department of Earth and Environmental Sciences, Vanderbilt University, Nashville, Tennessee, United States.
The mammalian adult dentition is a non-renewable resource. Tooth attrition and disease must be accommodated by individuals using behavioral, physiological, and/or musculoskeletal shifts to minimize impact on masticatory performance. From a biomechanical perspective, the musculoskeletal system becomes less efficient at producing bite force for a given amount of muscle input force over an individual's life, because tooth-food contact area increases as cusps wear.
View Article and Find Full Text PDFInfiltration of salivary proteins into dentin during erosive processes.
J Dent
January 2025
Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, Building 73, 66421 Homburg Saar, Germany.
Objective: Ultrastructural analyses showed that during erosion under oral cavity conditions, dentin is infiltrated by a substrate morphologically similar to salivary proteins. This in-situ study aimed to investigate the presence of salivary proteins in demineralized dentin.
Methods: Bovine dentin specimens were attached to individual maxillary splints (n = 1 per subject and condition) and worn intraorally by four subjects for 1 min.
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