Treatment of the Patient with Loss of Vertical Dimension: A Case Report

Authors

  • Omboon Boontham Lerdsin Hospital

Keywords:

Loss of vertical dimension, Traumatic occlusion, Oral rehabilitation

Abstract

Severe attrition lead to the loss of vertical dimension and the cause of traumatic occlusion. This case report describes the treatment of a 61-year-old Thai female, who had severely worn teeth, losses of vertical dimension and traumatic occlusion at upper central incisors. The treatment consisted of two stages. First, temporary crowns and acrylic removable partial dentures were used to increase vertical dimension. Second, after compatibility of the new vertical dimension had been confirmed, interim fixed restoration and permanent reconstruction were initiated. The follow-up check showed that satisfactory clinical results, including improved masticating function, aesthetics and absence of traumatic occlusion, were achieved by the restoration of vertical dimension.

References

Pokorny PH, Wiens JP, Litvak H. Occlusion for fixed prosthodontics: a historical perspective of the gnathological influence. J Prosthet Dent 2008;99(4):299-313.

Johansson A, Johansson AK, Omar R, Carlsson GE. Rehabilitation of the worn dentition. J Oral Rehabil 2008;35(7):548-66.

Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent 1984;52(4):467-74.

Doan PD, Goldstein GR. The use of a diagnostic matrix in the management of the severely worn dentition. J Prosthodont 2007;16(4):277-81.

Verrett RG. Analyzing the etiology of an extremely worn dentition. J Prosthodont 2001;10(4):224-33.

Commander R. Trauma from occlusion: a review. Clinical Update National Naval Dental Center 2004;26(1):25-7.

De Boever J, De Boever A. Occlusion and periodontal health. Elsevier 2004;83-9.

Saravanan R, Babu PJ, Rajakumar P. Trauma from occlusion - An orthodontist’s perspective. J Indian Soc Periodontol 2010;14(2):144-5.

Gopi Chander N, Venkat R. An appraisal on increasing the occlusal vertical dimension in full occlusal rehabilitation and its outcome. J Indian Prosthodont Soc 2011;11(2):77-81.

Bataglion C, Hotta TH, Matsumoto W, Ruellas CV. Reestablishment of occlusion through overlay removable partial dentures: a case report. Braz Dent J 2012;23(2):172-4.

Soares CJ, Pizi EC, Fonseca RB, Martins LR, Neto AJ. Direct restoration of worn maxillary anterior teeth with a combination of composite resin materials: a case report. J Esthet Restor Dent 2005;17(2):85-91; discussion 92.

Koksal T, Dikbas I, Kazaoglu E. Alternative restorative approach for treatment of patient with extremely worn dentition. N Y State Dent J 2009;75(5):52-5.

Dua P, Singh JP, Aghi A. Aesthetic and functional rehabilitation of a case of mutilated dentition and loss of vertical dimensions. J Indian Prosthodont Soc 2011;11(3):189-94.

Freitas AC Jr, Silva AM, Lima Verde MA, Jorge de Aguiar JR. Oral rehabilitation of severely worn dentition using an overlay for immediate re-establishment of occlusal vertical dimension. Gerodontology2012;29(1):75-8 0.

Turrell AJ. Clinical assessment of vertical dimension. J Prosthet Dent 1972;28(3):238-46.

Silverman MM. The speaking method in measuring vertical dimension. 1952. J Prosthet Dent 2001;85(5):427-31.

Pound E. Let /S/ be your guide. J Prosthet Dent 1977;38(5):482-9.

Shanahan TE. Physiologic vertical dimension and centric relation. 1956. J Prosthet Dent 2004;91(3):206-9.

Celenza FV. The theory and clinical management of centric positions: II. Centric relation and centric relation occlusion. Int J Periodontics Restorative Dent 1984;4(6):62-86.

Dawson PE. Evaluation, diagnosis and treatment of occlusal problems, 2nd Ed. St Louis: CV Mosby Co; 1989.

Neff PA. TMJ occlusion and function. Georgetown University School of Dentistry: Washington, D.C.; 1993. p. 43-60.

Ash MM, Ramfjord SP. Occlusion, 4th ed. Philadelphia, WB Saunders; 1995.

Long JH. Locating centric relation with a leaf gauge. J Prosthet Dent 1973;29(6):608-10.

Henderson D. Occlusion in removable partial prosthodontics. J Pros Dent 2004;91(1):1-5.

Downloads

Published

18-03-2026

How to Cite

1.
Boontham O. Treatment of the Patient with Loss of Vertical Dimension: A Case Report. J DMS [internet]. 2026 Mar. 18 [cited 2026 Mar. 20];51(1):146-52. available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/274786