Rehabilitating a severely worn dentition with removable prosthodontics

Area of Science:

• Dentistry
• Prosthodontics
• Restorative Dentistry

Background:

• Tooth wear is a progressive condition affecting dentition.
• Severely worn and depleted dentitions present complex restorative challenges.
• Management often requires tailored prosthetic solutions.

Purpose of the Study:

• To detail the indications and clinical stages for removable prostheses in managing severely worn dentitions.
• To describe general design features for complex prostheses with reorganized occlusal schemes.
• To explain maintenance guidelines and clinical stages for various prosthetic approaches.

Main Methods:

• Review of indications and clinical stages for removable prostheses.
• Description of general design principles for complex prostheses.
• Explanation of maintenance protocols.
• Case examples for removable-only, combined fixed-removable (same arch), and combined fixed-removable (separate arches) approaches.

Main Results:

• Removable prostheses offer an immediate, non-invasive, and retrievable treatment option for severely worn teeth.
• Specific clinical stages and design considerations are crucial for successful rehabilitation.
• The approach is valuable when remaining dentition quality is compromised or teeth are missing.

Conclusions:

• Removable prostheses are a viable and effective treatment modality for severely worn and depleted dentitions.
• This approach allows for immediate functional and aesthetic rehabilitation.
• It provides a conservative and reversible treatment strategy for complex dental cases.