RESTORATION OF THE LOST VERTICAL DIMENSION DUE TO SEVERE BRUXISM: A CASE REPORT

• Autor(a) principal: Martins, Mariana Pirollo
• Data de Publicação: 2015
• Outros Autores: Pereira, Naely Lais, Hernandes, Nicácio Garcia, Marchese, Marco Polo, Tanji, Maurício
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista da Faculdade de Odontologia de Lins (Online)
• Texto Completo: https://www.metodista.br/revistas/revistas-unimep/index.php/Fol/article/view/2282

Introduction: One of the dentist’s greatest challenges when planning an oral rehabilitation is to restore the altered vertical dimension, sometimes due to the loss of posterior teeth or caused by their excessive wearing as a consequence of parafunctional habits. Proposition: to present a case report in which the patient’s vertical dimension was re-established after being lost to the habit of bruxism. Case report: A 48-year-old male leucodermic patient had a severe teeth wearing, leading to the loss of the occlusion vertical dimension. Due to such huge loss of tooth structure, the patient had several affected teeth; therefore, endodontic treatments were performed with the subsequent nucleus implantation. To recover the vertical dimension, metal-ceramic crowns were placed in all upper jaw teeth; in the lower arch, only the anterior teeth received metal-ceramic crowns and, due to the absence of posterior teeth, the patient was rehabilitated with a removable partial denture. At the end of treatment, the patient received a (myo-relaxing) interocclusal plate to protect the crowns, providing a more stable joint positioning. Conclusions: It is extremely important that the dentist is able to solve the patients’ problems, attending to their needs, rehabilitating them the best way possible, so as to meet their expectations of a better quality of life.