Gounder Revathy, Rao P Laxman, Kumar G Ajay, M Githanjali, Chandrasekhar N
Post Graduate Student, Department of Prosthodontics and Implant Dentistry, Army College of Dental Sciences , Secunderabad, India .
Professor and HOD, Department of Prosthodontics and Implant Dentistry, Army College of Dental Sciences , Secunderabad, India .
J Clin Diagn Res. 2014 Oct;8(10):ZD04-6. doi: 10.7860/JCDR/2014/9049.4953. Epub 2014 Oct 20.
The management of tooth wear is complex and challenging as it involves multidisciplinary approach. Proper diagnosis and elaborative treatment protocol is necessary to obtain successful and predictable outcome. The objective of full mouth rehabilitation includes identification of the cause, prevention and preservation of the remaining tooth structure. This case report presents the management of the remaining teeth by endodontic and periodontic intervention which was followed by porcelain fused to metal fixed prosthesis, telescopic denture for the upper missing teeth and extra-coronal attachments for the lower missing teeth. Segmental arch technique was utilized for the rehabilitation where anterior teeth were restored first followed by the posterior teeth. Patient had a satisfactory functional and aesthetic results.
牙齿磨损的管理复杂且具有挑战性，因为它涉及多学科方法。要获得成功且可预测的结果，需要进行正确的诊断和精心制定的治疗方案。全口修复的目标包括确定病因、预防和保留剩余的牙齿结构。本病例报告介绍了通过牙髓和牙周干预来管理剩余牙齿的情况，随后进行了烤瓷熔附金属固定修复体、上颌缺失牙的套筒冠义齿以及下颌缺失牙的冠外附着体修复。采用分段牙弓技术进行修复，先修复前牙，然后修复后牙。患者获得了满意的功能和美学效果。
