İleri Derecede Aşınmış Dişlerde Vertikal Boyutun ve Estetiğin Sağlanması

Year 2014, Volume: 3 Issue: 1, 39 - 42, 01.04.2014

Ayşe Tuba Öğreten Meral Arslan Malkoç Neslihan Şimşek Şeydanur Dengizek Eltaş

Abstract

Giriş: Diş aşınması bireylerde sıklıkla görülen ve pek çok etiyolojik nedene bağlı olarak gelişebilen bir durumdur. Genellikle hastalarda, diş aşınmasının yaygınlığına ve miktarına bağlı olarak oklüzal dikey boyutun kaybı da görülebilmektedir. Olgu raporu: 47 yaşındaki erkek hasta İnönü Üniversitesi Diş Hekimliği Fakültesi Protetik Diş Tedavisi kliniğine çiğneme fonksiyonu yetersizliği ve ön dişlerindeki ileri derecede aşınma şikayetiyle başvurmuştur. Klinik muayenede dişlerde aşırı derecede aşınma ve dikey boyut kaybı tespit edilmiştir. İlk olarak, üst ön bölgede yeterli kuron boyu sağlamak için periodontal cerrahi ile alveoler kemik rezeksiyonu uygulanarak gingivektomi yapıldı. Daha sonra hastaya vertikal dikey boyutu yükseltmek için oklüzal splint kullandırıldı. Dişler 6° chamfer tarzı basamak ile prepare edildi. Tüm dişler zirkonyum alt yapılı porselen ile restore edildi. Restorasyonlar rezin simanla simante edildi. Sonuç: Yapılan periyodik kontrollerde hastanın protezinden memnun olduğu ve bu protezle yeniden düzenlenen dikey boyutun yüz ve yumuşak doku profilinde olumlu değişiklikler oluşturduğu izlendi

Keywords

Oklüzyon Dikey Boyut, Diş Aşınması, Zirkonyum

Providing Vertical Height and Esthetic Rehabilitation of A Patient With Severe Attrition: Clinical Report

Abstract

Objective: Tooth wear is a common situation and may have many etiological factors. Excessive oclusal wear may manifest itself as reduction of the vertical dimension of the occlusion. Decreased vertical dimension may lead to some complaints. Such as poor aesthetics, decreased masticatory efficiency, temporomandibular joint pain and loss of muscletone. Case report: A 47-year-old man presented to the Department of Prosthodontics at Inonu University in Malatya with the complaint of insufficient chewing function and severe front teeth wear. Clinical examination revealed vertical dimension of lost due to the severe tooth wear. Firstly, resection of the alveolar bone to increase length of crowns was performed on the vestibular sites of the maxillary anterior teeth. Than the patient used occlusal splint to increasing the vertical dimension. The teeth were prepared with 6° chamfer preparation. Root canal treatment was planned for maxillary anterior teeth and all teeth were restored with veneering ceramics of zirconia based restorations. Restorations were luted with resin cement. Conclusion: As a consequence of periodic controls, it was observed that the patient was satisfied with the prosthesis and the re-arranged vertical dimension creates positive changes in face and soft tissue profile

Keywords

Vertical Dimension of Occlusion (VDO), Tooth Wear, Zirconium.

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