Interdisciplinary Management of Oral Rehabilitation of a Patient with Loss of Vertical Dimension

Introduction: Restoration of Vertical dimension of occlusion (vdo), also known as occlusal vertical dimension, or ovd, is one of the most common treatment options when rehabilitating a patient with multiple dental wear. Objective: To restore a case of corrected vdo by complete oral rehabilitation wi...

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Detalles Bibliográficos
Autores: Gutiérrez Huízar, Luis Leonel, Ortega Bernal, Laila Araceli, Rodríguez-Chávez, Jacqueline Adelina, Flores-Ruiz, Hugo M, Magaña Curiel, Karina, Curiel-González, Ricardo, Carrillo Collado, Miguel Ángel, Gutiérrez Núñez, Alfonso
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:México
Institución:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
Repositorio:Revista Odontológica Mexicana
Idioma:español
inglés
OAI Identifier:oai:ojs.pkp.sfu.ca:article/80393
Acceso en línea:https://revistas.unam.mx/index.php/rom/article/view/80393
Access Level:acceso abierto
Palabra clave:Dimensión vertical
Bruxismo
Manejo interdisciplinario
Rehabilitación oral
Desgaste dental severo.
vertical dimension
bruxism
interdisciplinary management
oral rehabilitation
severe dental wear
Descripción
Sumario:Introduction: Restoration of Vertical dimension of occlusion (vdo), also known as occlusal vertical dimension, or ovd, is one of the most common treatment options when rehabilitating a patient with multiple dental wear. Objective: To restore a case of corrected vdo by complete oral rehabilitation with the help of prosthodontics, periodontics and endodontics. Case presentation: A 62-year-old female patient is presented, whose reason for consultation was: "my teeth are too small and I can't eat comfortably". Severe generalised wear, missing teeth, and misaligned restorations were diagnosed. The treatment was divided into 4 phases: In phase 1 the necessary diagnostic studies were taken and foci of infection were removed. In phase 2 provisionalisation of the patient was carried out. During phase 3 (surgical phase), crown lengthening was performed in the anterior sector, followed by implant placement. Phase 4: All final restorations were made. Finally, an increase in the vertical dimension (3 mm), occlusal stability with aesthetic, biological and functionally adequate restorations were obtained. Conclusions: The diagnosis and interdisciplinary treatment plan are of utmost importance to obtain excellent results in the oral rehabilitation of a patient with generalised severe wear.