Full Mouth Rehabilitation of a Patient with Restorative Space Issues - A Case Report


Affiliations

  • Ibn Sina National College for Medical Studies, Prosthodontics Division, Department of Oral and Maxillofacial Rehabilitation, Jeddah, 22421, Saudi Arabia
  • Ibn Sina National College for Medical Studies, Dental Intern, Dentistry Program, Jeddah, 22421, Saudi Arabia

Abstract

Restorative space refers to the amount of space needed vertically and horizontally between the occluding surface of the teeth and between the crest of the residual ridge so that the prosthesis (fixed and/or removable) can be fabricated without compromising their strength and esthetics. Inadequate restorative space can result in prosthetic rehabilitation with poor esthetics, inadequate contours, and decreased stability. Therefore the amount of available restorative space must be carefully assessed prior to initiating prosthetic treatment. Optimal restoration of a patient with restorative space issues depends on several interdependent factors such as the amount of restorative space available, amount of restorative space required for the proposed dental restorations and prosthesis, quality, and quantity of remaining dentition and residual alveolar ridge and esthetic and functional patient demands. Accurate clinical and radiographic examinations, careful determination of VDO and systematic treatment planning using a diagnostic wax-up is key to predictable and successful treatment for patients with restorative space issues. This case report presented here to discuss the challenges and management of a patient with inadequate restorative space.


Keywords

Full Mouth Rehabilitation, Restorative Space, Teeth Wear, Treatment Planning, Vertical Dimension

Subject Discipline

Prosthodontics, Dentistry

Full Text:

References

The Glossary of Prosthodontic Terms (GPT). J. Prosthet. Dent. 2017; 117 (5): e1-e105 DOI: https://doi.org/10.1016/j.prosdent.2016.12.001

Crothers AJR. Tooth wear and facial morphology. J. Dent 1992; 20:333-41 https://doi.org/10.1016/03005712(92)90019-9.

Sicher H. Oral Anatomy, Ed 5. St. Louis. The C.V. Mosby co.; 1949. P. 270.

Berry D, Poole D. Attrition: Possible mechanisms of compensation. J. Oral Rehabil. 1976; 30: 201-06. https://doi.org/10.1111/j.1365-2842.1976.tb00945.x. PMid: 1068232.

Turner K, Missirilian D. Restoration of the extremely worn dentition. J. Prosthet. Dent. 1984; 52:467-74. https://doi.org/10.1016/0022-3913(84)90326-3.

Stern N, Brayer L. Collapse of the occlusion – Aetiology, symptomatology and treatment. J. Oral Rehabil. 1975; 2(1):1-19. https://doi.org/10.1111/j.1365-2842.1975.tb00907.x. PMid: 1056439.

Pound E. The mandibular movements of speech and their seven related values. J. South Calif. Dent. Assoc. 1966; 34(9):435-41.

Silverman MM. The speaking method in measuring vertical dimension. J. Prosthet. Dent.1953; 3:193. https://doi.org/10.1016/0022-3913(53)90127-9.

Niswonger ME. The rest position of the mandible and the centric relation. J. Am. Dent. Assoc. 1934; 21(9):1572-82. https://doi.org/10.14219/jada.archive.1934.0258.

Atwood DA. A cephalometric study of the clinical rest position of the mandible. J. Prosthet. Dent. 1956; 6:504-19. https://doi.org/10.1016/0022-3913(56)90094-4.

Hearrwell CM, Jr and Kahn AO. Syllabus of Complete Dentures, Ed. 3rd. Philadelphia, 1980. Lea & Fcbigcr. Publishers, 558 pages.

Peter E Dawson. Evaluation, Diagnosis and Treatment of Occlusal Problems, Ed. 2nd. St. Louis: C.V. Mosby; 1989.

Bell WH, Proffit WR, White RP. Surgical Correction of Dentofacial Deformities, Ed. 1st, Vol 2. Philadelphia: Saunders; 1980.


Refbacks

  • There are currently no refbacks.