FULL MOUTH REHABILITATION OF A PATIENT WITH SEVERELY WORN DENTITION AND EVALUATION OF BITE FORCE: A CASE REPORT

Öz

Aim: The Cleft Lip and Palate (CLP) is variation of a Aesthetic and functional restoration of the severely worn dentiton leads to some challenges due to the insufficient restorative space. In the present case report, 60 years-old male patient had generalized tooth wear, anterior cross-bite, aesthetic problems and impaired masticatory function. After the detailed examination, 2 mm increase of occlusal vertical dimension (OVD) in posterior teeth has been decided. Before treatment, cephalometric radiographs were taken and maximum bite force was measured as 20 kg/kuvvet. Then, for adaptation of patient to the increased OVD, patient used the fixed provisional restoration for 1 month. A second cephalometric radiograph was taken with the provisional restoration at increased OVD. After 1 month, patient did not report any muscle pain or joint discomfort and thus permanent full mouth restoration was completed. One week later of permanent cementation of restorations, patient reported satisfactory masticatory function and at this appointment the bite force was measured as 32 kg/kuvvet

Anahtar Kelimeler

• Tooth wear, vertical dimension, bite force

AŞIRI DİŞ AŞINMASI OLAN BİR HASTANIN TAM ARK RESTORASYONU VE ISIRMA KUVVETİNİN DEĞERLENDİRİLMESİ: VAKA RAPORU

Öz

Ciddi diş aşınmasının fonksiyonel ve estetik olarak rehabilitasyonu restoratif alan için yeterli yer olmamasından dolayı bazı problemlere neden olmaktadır. Sunulan vakada 60 yaşındaki erkek hastada yaygın diş aşınmaları, ön çapraz kapanış ve çiğneme fonksiyonunda sorunlar mevcuttu. Detaylı muayenenin ardından oklüzal vertikal boyutun (OVB) arka dişlerde 2 mm artırılmasına karar verildi. Tedavi öncesinde sefalometrik film alınmış ve maksimum ısırma kuvveti 20 kg/kuvvet olarak ölçüldü. Ardından hastanın artırılmış OVB’ye adaptasyonu için sabit geçici restorasyonlar hastaya 1 ay kullandırıldı. Bu yükseltilmiş OVB’de geçici restorasyonlar ile ikinci bir sefalometrik film alındı. Bir aylık kontrol sonunda hastada herhangi bir kas ağrısı ve eklem rahatsızlığına dair şikâyetin olmaması nedeniyle tam ark restorasyonu tamamlandı. Restorasyonun daimi simantasyonunundan bir hafta sonra yapılan kontrolde hasta rahat bir şekilde çiğneme yapabildiğini ifade etti. Kontrolde ısırma kuvveti kaydı tekrar alındı ve hastanın maksimum ısırma kuvveti 32 kg/kuvvet olarak ölçülmüştür.

Anahtar Kelimeler

• Diş aşınması, vertikal boyut, ısırma kuvveti

Kaynakça

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