Full mouth rehabilitation in a limited restorative space with severely worn teeth — a case report

Wei-Te Victor Lee, DDS, MS, MBA Visiting Doctor and Chief Department of Dentistry Shin Kong Wu Ho-Su Memorial Hospital No. 95, Wen Chang Road, Shih Lin District, Taipei City Tel: +886-2-28332211 #2182 Fax:+886-2-28389321 E-mail: [email protected] Abstract This report describes a patient with severely worn anterior teeth and early loss of posterior teeth from the mandible, resulting in a restricted restorative space. The patient's chief complaints were poor chewing function and esthetic appearance. To create su cient restorative space and provide an improved appearance, we used a removable appliance to test an increased vertical dimension. After a one-month adaptation period, we began fabrication of a complete maxillary overdenture prosthesis and a Kennedy class I removable parti al denture with surveyed crowns in the mandible. During the provisional stage, the patient adapted smoothly, and no muscles or temporomandibular joint related symptoms or signs were noted. Finally, we met the treatment goal of rehabilitation of the chewing function, and a satisfying smiling appearance.