Holistic management of mutilated dentition

Background: Worn dentition has become a common and crucial issue, especially in the older generation. Beyond esthetics, functional diminution can create a serious impact on the overall well-being of the individual. The etiology of the worn dentition can be multifactorial; therefore, the treatment ap...

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Main Authors: Vidyalakshmi Chandrasekar, Ahila Singaravel Chidembaranathan, Muthukumar Balasubramanium
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Scientific Dental Journal
Subjects:
Online Access:http://www.scidentj.com/article.asp?issn=2580-6548;year=2020;volume=4;issue=1;spage=33;epage=38;aulast=Chandrasekar
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author Vidyalakshmi Chandrasekar
Ahila Singaravel Chidembaranathan
Muthukumar Balasubramanium
author_facet Vidyalakshmi Chandrasekar
Ahila Singaravel Chidembaranathan
Muthukumar Balasubramanium
author_sort Vidyalakshmi Chandrasekar
collection DOAJ
description Background: Worn dentition has become a common and crucial issue, especially in the older generation. Beyond esthetics, functional diminution can create a serious impact on the overall well-being of the individual. The etiology of the worn dentition can be multifactorial; therefore, the treatment approach should be systematic and must not only address the existing problem but also prevent any recurrence. Case Report: Rehabilitation of a patient with worn dentition requires proper clinical, radiographic examination and recording of the occlusal vertical dimension (OVD). In this case report, a 65-year-old male patient presented with worn out and missing teeth in his upper and lower jaws. An arbitrary face-bow transfer was conducted, and the diagnostic casts were articulated. A mock full contoured wax up with a raised OVD of approximately 4 mm was completed. After 3 months of interocclusal splint therapy with the raised OVD, temporary restoration was cemented. After a follow-up period of 3 months, when the patient was devoid of any signs and symptoms, permanent restorations fabricated using computer-aided design and computer-aided manufacturing were cemented. An interocclusal splint was provided to preserve the restorations. Conclusion: Rehabilitating patients with worn dentition involves careful decision-making during the diagnosis as it will direct the entire treatment sequence. This case report and the resulting steps involved might serve as guidelines for other clinicians while treating similar patients.
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spelling doaj.art-b9386d818b74498a91345437f2e62b762022-12-22T02:38:09ZengWolters Kluwer Medknow PublicationsScientific Dental Journal2580-65482541-321X2020-01-0141333810.4103/SDJ.SDJ_46_19Holistic management of mutilated dentitionVidyalakshmi ChandrasekarAhila Singaravel ChidembaranathanMuthukumar BalasubramaniumBackground: Worn dentition has become a common and crucial issue, especially in the older generation. Beyond esthetics, functional diminution can create a serious impact on the overall well-being of the individual. The etiology of the worn dentition can be multifactorial; therefore, the treatment approach should be systematic and must not only address the existing problem but also prevent any recurrence. Case Report: Rehabilitation of a patient with worn dentition requires proper clinical, radiographic examination and recording of the occlusal vertical dimension (OVD). In this case report, a 65-year-old male patient presented with worn out and missing teeth in his upper and lower jaws. An arbitrary face-bow transfer was conducted, and the diagnostic casts were articulated. A mock full contoured wax up with a raised OVD of approximately 4 mm was completed. After 3 months of interocclusal splint therapy with the raised OVD, temporary restoration was cemented. After a follow-up period of 3 months, when the patient was devoid of any signs and symptoms, permanent restorations fabricated using computer-aided design and computer-aided manufacturing were cemented. An interocclusal splint was provided to preserve the restorations. Conclusion: Rehabilitating patients with worn dentition involves careful decision-making during the diagnosis as it will direct the entire treatment sequence. This case report and the resulting steps involved might serve as guidelines for other clinicians while treating similar patients.http://www.scidentj.com/article.asp?issn=2580-6548;year=2020;volume=4;issue=1;spage=33;epage=38;aulast=Chandrasekarcomputer-aided design and computer-aided manufacturingocclusal splintsrehabilitationtooth wear
spellingShingle Vidyalakshmi Chandrasekar
Ahila Singaravel Chidembaranathan
Muthukumar Balasubramanium
Holistic management of mutilated dentition
Scientific Dental Journal
computer-aided design and computer-aided manufacturing
occlusal splints
rehabilitation
tooth wear
title Holistic management of mutilated dentition
title_full Holistic management of mutilated dentition
title_fullStr Holistic management of mutilated dentition
title_full_unstemmed Holistic management of mutilated dentition
title_short Holistic management of mutilated dentition
title_sort holistic management of mutilated dentition
topic computer-aided design and computer-aided manufacturing
occlusal splints
rehabilitation
tooth wear
url http://www.scidentj.com/article.asp?issn=2580-6548;year=2020;volume=4;issue=1;spage=33;epage=38;aulast=Chandrasekar
work_keys_str_mv AT vidyalakshmichandrasekar holisticmanagementofmutilateddentition
AT ahilasingaravelchidembaranathan holisticmanagementofmutilateddentition
AT muthukumarbalasubramanium holisticmanagementofmutilateddentition