Skip to main content

Advertisement

Log in

Diagnosis and Management of Occlusal Wear: A Case Report

  • Clinical Report
  • Published:
The Journal of Indian Prosthodontic Society

Abstract

The rationale for doing full mouth rehabilitation are, when occlusal forces become traumatic hampering the health of periodontal tissues, extensive occlusal diseases, trauma, temporomandibular joint disease and congenital disorders with malformed dentition. Literature exposes that full mouth fixed rehabilitation is one of the taxing procedures in the field of Prosthodontics. A critical aspect for successful occlusal rehabilitation is to determine the aetiology, correct sequence of treatment and most importantly the occlusal vertical dimension and centric relation in which to plan the treatment. A systematic approach in managing these patients can lead to a predictable and favourable prognosis. This article presents the stages of prosthodontic rehabilitation, from diagnosis to final treatment and follow-up, of a bruxer patient with severely worn dentition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10

References

  1. Dawson PE (2007) Functional occlusion: from TMJ to smile design. Mosby, Canada

    Google Scholar 

  2. The Academy of Prosthodontics (2005) The glossary of prosthodontic terms. J Prosthet Dent 94:10–92

    Article  Google Scholar 

  3. Ferini-Strambi L, Pozzi P, Manconni M, Zuconni M, Oldani A (2011) Bruxism and nocturnal groaning. Arch Ital Biol 149:1–11

    Google Scholar 

  4. Dylina TJ (1999) Phase II therapy for a chronic pain patient: a clinical report. Cranio 17:126–131

    PubMed  Google Scholar 

  5. Song M-Y, Park J-M, Park E-J (2010) Full mouth rehabilitation of the patient with severely worn dentition: a case report. J Adv Prosthodont 2:106–110

    Article  PubMed  Google Scholar 

  6. Pokorny PH, Wiens JP, Litvak H (2008) Occlusion for fixed prosthodontics: a historical perspective of the gnathological influence. J Prosthet Dent 99:299–313

    Article  PubMed  Google Scholar 

  7. Charles Becker S (1966) Clinical procedures in occlusal rehabilitation, 2nd edn. W. B. Saunders/ The University of Michigan, Philadelphia

    Google Scholar 

  8. Hotta TH, de Jesus L, Nunes AH, Quatrini CB, Nonaka O, Bezzon O (2000) Tooth wear and loss: symptomatological and rehabilitating treatments. Braz Dent J 11:147–152

    PubMed  Google Scholar 

  9. Beohar G, Shrivastava S, Agarwal S, Katare U (2011) A concise overview of various options of TMJ deprogrammers: part II. Arch Dent sci 2:8–11

    Google Scholar 

  10. Dawson PE (1989) Evaluation, diagnosis and treatment of occlusal problems, 2nd edn. Mosby, St. Louis

    Google Scholar 

  11. Mccullock AJ (2003) Making occlusion work: practical considerations. Dent Update 30:211–219

    PubMed  Google Scholar 

  12. Schuyler CH (2001) The function and importance of incisal guidance in oral rehabilitation. J Prosthet Dent 86:219–231

    Article  PubMed  Google Scholar 

  13. Steele JG, Nohl FSA, Wassell RW (2002) Crowns and other extra-coronal restorations: occlusal considerations and articulator selection. Br Dent J 192:377–387

    Article  PubMed  Google Scholar 

  14. Craddock HL, Lynch CD, Franklin P, Youngson CC, Manogue M (2005) A study of the proximity of the Broadrick ideal occlusal curve to the existing occlusal curve in dentate patients. J Oral Rehabil 32:895–900

    Article  PubMed  Google Scholar 

  15. Small BW (2005) Occlusal plane analysis using the Broadrick flag. Gen Dent 53:250–252

    PubMed  Google Scholar 

  16. Lynch CD, McConnell RJ (2002) Prosthodontic management of the curve of Spee: use of the Broadrick flag. J Prosthet Dent 87:593–597

    Article  PubMed  Google Scholar 

  17. Bedia SV, Dange SP, Khalikar AN (2007) Determination of the occlusal plane using a custom-made occlusal plane analyzer: a clinical report. J Prosthet Dent 98:348–352

    Article  PubMed  Google Scholar 

  18. Dao TTT, Lavingne GJ (1998) Oral splints: the crutches for temporomandibular disorders and bruxism. Crit Rev Oral Biol Med 9:345–361

    Article  PubMed  Google Scholar 

  19. Lucia VO (1983) Modern gnathological concepts—updated. Quintessence Pub Co./ The University of Michigan, Ann Arbor

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Y. A. Bindhoo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thirumurthy, V.R., Bindhoo, Y.A., Jacob, S.J. et al. Diagnosis and Management of Occlusal Wear: A Case Report. J Indian Prosthodont Soc 13, 366–372 (2013). https://doi.org/10.1007/s13191-012-0173-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13191-012-0173-2

Keywords

Navigation