Comprehensive Oral Rehabilitation Using Fixed Prostheses and Implants to Manage Severe Tooth Wear

The vertical dimension of occlusion (VDO or OVD) is maintained by tooth eruption and the development of the alveolar bone. Adaptive changes in the alveolar bone compensate for occlusal wear. The loss of the Vertical Dimension of Occlusion is the result of periodontal disease, tooth wear, or trauma, thereby leading to the loss of tooth height or alveolar bone. The patient suffers from functional and aesthetic issues. This paper describes 2 cases of full-mouth rehabilitation with a severely worn dentition, with Vertical Dimension of Occlusion loss and missing teeth. Fullmouth prosthetic restoration was done in both patients, thereby improving the function and aesthetic outcome of the patients, thus highlighting the need for early intervention for repair of Vertical Dimension of Occlusion. Minimal complications were observed during the two-year follow-up in this case of severe tooth wear and posterior tooth loss. In these treatments, centric occlusal contacts on all teeth were maintained with proper anterior guidance, with functional jaw movements in harmony.