Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report

Abstract

Management of occlusal wear and attrition is a complex and intriguing aspect ofPreventive and Restorative dentistry. The most critical steps for a successful full mouth rehabilitation are correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records. A systematic approach is required in order to achieve a predictable and desirable result in these types of cases. This paper describes the full mouth rehabilitation of a 36-year-old bruxer with severely worn dentitionand loss of vertical dimension. A hard-occlusal splint was given to the patient at raised vertical dimension for a period of 4 weeks, diagnostic mock-up was performed on mounted cast on a semiadjustable articulator at raised vertical dimensionand provisional restorations were fabricated. The provisionals were then evaluated clinically and adjustments were made based on the criteria dictating aesthetics, phonetics, and vertical dimension. After a period of 2 months the final impression were made, occlusion and vertical dimension was maintained with the help of temporaries.Stable contacts on all teeth with equal intensity in centric relation and disocclusion of posterior teeth with anterior guidance in accord with functional jaw movements was ensured and achieved.