Full-Mouth Rehabilitation of a Patient With Generalized Enamel Hypoplasia and an Anterior Open Bite Using a...

Enamel hypoplasia is a developmental defect characterized by quantitative enamel deficiency, often leading to esthetic compromise, hypersensitivity, occlusal disharmony, and loss of vertical dimension. Rehabilitation of such patients is clinically demanding, particularly when associated with an anterior open bite. This case report describes the prosthodontic management of a 44-year-old male patient with generalized enamel hypoplasia and an anterior open bite through systematic full-mouth rehabilitation. A physiologic approach using the swallowing method was employed to determine the vertical dimension of occlusion, followed by staged rehabilitation with porcelain-fused-to-metal restorations. The treatment resulted in improved function, esthetics, and occlusal stability with satisfactory patient acceptance. This report emphasizes the importance of physiologic vertical dimension determination and structured prosthodontic planning in complex rehabilitative cases.