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Treatment of Severely Worn Dentition: A Clinical Report  

Choi, Mee-ra (Department of Prosthodontics, College of Medicine, Hallym University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.25, no.4, 2009 , pp. 337-347 More about this Journal
Abstract
The treatment of a patient with severely worn dentition is often challenging due to loss of vertical dimension and an uneven occlusal plane. To establish a correct occlusal plane and space for prostheses, it is necessary to increase vertical dimension. Occlusal vertical dimension is the vertical position of mandible to maxilla in centric occlusion. McAndrew reported that in spite of the change of the vertical dimension, the altered occlusion would be maintained if the equal occlusal contacts were established in centric relation. Centric relation is defined as an anatomically and physiologically stable, repeatable posture of the mandible and can be considered a most acceptable treatment and reference position. In this case we tried to treat patients with severely worn dentition by the use of centric relation and increased vertical dimension for the space of prostheses.
Keywords
Full mouth rehabilitation; vertical dimension increase; centric relation;
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