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http://dx.doi.org/10.4047/jkap.2018.56.1.40

Functional and esthetic improvement through systematic diagnosis and treatment procedures in patient with unaesthetic anterior teeth proportion because of tooth wear : A case report  

Jeong, Hae-Yong (Department of Prosthodontics, School of Dentistry, Dankook University)
Choi, Yu-Sung (Department of Prosthodontics, School of Dentistry, Dankook University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.56, no.1, 2018 , pp. 40-49 More about this Journal
Abstract
It is reported that the causes of unaesthetic proportion of anterior teeth vary widely. Especially, when the unaesthetic tooth proportion of the mandibular incisors arises due to the wear of the anterior teeth accompanied by the compensation of the alveolar bone, it may cause serious functional and aesthetic problems. In such case, it should be considered that the evaluation of vertical dimension and tooth proportion as well as smile line, soft tissue and hard tissue morphology. And, increase of vertical dimension or clinical crown lengthening followed by prosthodontic restorations is needed to improve the interdental mesial/distal, width/length ratio considering the anterior guidance. This case report demonstrates functional and aesthetic improvements through systematic diagnosis and treatment procedures in a 48-year-old male patient with unaesthetic anterior teeth proportion because of tooth wear accompanied by the compensation of alveolar bone and defect of several central incisors due to chronic periodontitis.
Keywords
Aesthetics; Vertical dimension; Crown lengthening; Anterior guidance; Diagnostic wax-up; Smile line;
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