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

Ramin Negahdari, Alireza Pournasrollah, Seyyed Mahdi Vahid Pakdel, Sepideh Bohlouli


If remained untreated, progressive dental wear can lead to pulpal pathology, occlusal disharmony, and impaired function and esthetics. This case report describes prosthetic rehabilitation of a 53 year-old man with the loss of anterior guidance, severe wear of dentition and vertical dimension loss. Oral rehabilitation was performed by reconstruction of vertical dimension, crown lengthening, conventional implants, and custom cast gold post and cores as well as porcelain fused to metal restorations. Full mouth reconstruction of the patient with severely worn dentition was found to be successful after 4 years of follow up.


Keywords: mouth rehabilitation, tooth wear, vertical dimension

Full Text:



Lobbezoo F, Brouwers JE, Cune MS, Naeije M. Dental implants in patients with bruxing habits. Journal of oral rehabilitation. 2006;33(2):152-9.

Watson RM. The role of removable prostheses and implants in the restoration of the worn dentition. The European journal of prosthodontics and restorative dentistry. 1997;5(4):181-6.

Yunus N, Abdullah H, Hanapiah F. The use of implants in the occlusal rehabilitation of a partially edentulous patient: a clinical report. The Journal of prosthetic dentistry. 2001;85(6):540-3.

Ganddini MR, Al-Mardini M, Graser GN, Almog D. Maxillary and mandibular overlay removable partial dentures for the restoration of worn teeth. The Journal of prosthetic dentistry. 2004;91(3):210-4.

Blitz N. Anterior crowns in re-establishing vertical dimension of occlusion: overcoming fear of heights. Oral health. 1997;87(2):23-4, 7-9.

McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH, et al. Classification system for partial edentulism. Journal of prosthodontics : official journal of the American College of Prosthodontists. 2002;11(3):181-93.

Turner KA, Missirlian DM. Restoration of the extremely worn dentition. The Journal of prosthetic dentistry. 1984;52(4):467-74.

Addy M, Shellis RP. Interaction between attrition,abrasion and erosion in tooth wear. Monographs in oral science. 2006;20:17-31.

Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. The Journal of prosthetic dentistry. 1984;51(1):24-8.

Lundquist DO, Luther WW. Occlusal plane determination. The Journal of prosthetic dentistry. 1970;23(5):489-98.

Halperin AR, Graser GN, Rogoff GS. Mastering the Art of Complete Dentures. 1st ed. Chicago Quintessence; 1988. 94-7 p.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2016 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine