Stewart B
Pankey Institute, Key Biscayne, Florida, USA.
Int J Periodontics Restorative Dent. 1998 Feb;18(1):46-57.
Dental literature supports the concept that vertical dimension of occlusion is normally not lost in severely worn dentition, and the bite should generally not be opened to facilitate dental reconstruction. However, restoration of a periodontally sound but severely worn dentition, at existing vertical dimension, frequently presents unique challenges in patient management, diagnosis, treatment planning, and restorative methodology. This report reviews and demonstrates an integrated and planned approach to this complex treatment situation that can lead to a favorable and predictable prognosis. The approach also allows a practitioner free use of various techniques if certain goals of occlusion are followed.
牙科文献支持这样一种观点，即严重磨损的牙列通常不会丧失咬合垂直距离，并且一般不应打开咬合以利于牙齿重建。然而，在现有的垂直距离下，对牙周健康但严重磨损的牙列进行修复，在患者管理、诊断、治疗计划和修复方法方面常常带来独特的挑战。本报告回顾并展示了一种针对这种复杂治疗情况的综合且有计划的方法，该方法可带来良好且可预测的预后。如果遵循某些咬合目标，该方法还允许从业者自由使用各种技术。
