Goyal Mukesh Kumar, Goyal Shelly, Hegde Veena, Balkrishana Dhanasekar, Narayana Aparna I
Department of Prosthodontics and Maxillofacial Prosthetics, Maharaja Gangasingh Dental College and Research Center, Sriganganagar, Rajasthan, India.
Int J Periodontics Restorative Dent. 2013 Jul-Aug;33(4):527-32. doi: 10.11607/prd.0381.
Patients today demand a youthful, attractive smile with comfortable functional acceptance. The complete oral rehabilitation of patients with a functionally compromised dentition frequently involves a multidisciplinary approach and presents a considerable clinical challenge. To a great extent, proper patient selection and careful interdisciplinary treatment planning, including acknowledgment of the patient's perceived needs, reasons for seeking services, financial ability, and socioeconomic profile, can govern the predictability of successful restorations. This clinical report describes a successful interdisciplinary approach for the management of a severely worn dentition with reduced vertical dimension of occlusion. Treatment modalities included periodontal crown lengthening procedures, endodontic treatment followed by post and core restorations, and prosthetic rehabilitation for severe tooth surface loss and reduced vertical dimension of occlusion comprising metal-ceramic restorations in esthetic zones and full-metal restorations in posterior regions.
如今的患者期望拥有年轻、迷人的笑容,并能舒适地行使功能。牙列功能受损患者的全口口腔修复通常需要多学科方法,这带来了相当大的临床挑战。在很大程度上,合适的患者选择和精心的跨学科治疗计划,包括了解患者的感知需求、寻求治疗的原因、经济能力和社会经济状况,能够决定修复成功的可预测性。本临床报告描述了一种成功的跨学科方法,用于治疗咬合垂直距离降低的严重磨损牙列。治疗方式包括牙周冠延长术、根管治疗后进行桩核修复,以及针对严重牙体表面缺损和咬合垂直距离降低的修复治疗,其中美学区域采用金属烤瓷修复,后部区域采用全金属修复。