Anurag Dani, Sridhar N Shetty, Chethan Hegde

Journal of Interdisciplinary Dentistry 2011 1(1):33-36

Dental literature supports the concept that vertical dimension of occlusion is normally not lost in severely worn dentition, and the bite should generally not be opened to facilitate dental reconstruction. Many of us think that an excessive worn dentition results in loss of vertical dimension of occlusion, and that this loss should be regained during reconstruction. However, restoration of a periodontally sound but severely worn dentition, at existing vertical dimension, frequently presents unique challenges in patient management, diagnosis, treatment planning, and restorative methodology. This report reviews and demonstrates a planned approach to this complex treatment situation that can lead to a favourable and predictable prognosis i.e. restoration of a functional occlusion and esthetics along with endodontic treatment, at existing vertical dimension of occlusion.

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