A multidisciplinary approach to correct loss of VDO by full mouth rehabilitation

Careful attention and meticulous treatment planning are the most important factors in full mouth rehabilitation. It is a biggest challenge to restorative clinicians. Efficient diagnosis and elaborate treatment planning is required to develop ordered occlusal contacts and harmonious articulation in order to optimize stomathognathic function, health and esthetics which then translates to patient’s comfort and satisfaction. With early loss of posterior teeth and the collapse of occlusion results in the loss of normal occlusal plane and the reduction of the vertical dimension of occlusion. This case report is of full mouth rehabilitation of a 55 years old patient with multiple decayed and long time loss of posterior teeth with loss of vertical dimension. The patient's chief complaints were poor chewing function and esthetic appearance. To create sufficient restorative space and provide an improved appearance, we used a removable appliance to test an increased vertical dimension. During the provisional stage, the patient adapted smoothly, and no muscles or temporomandibular joint related symptoms or signs were noted. Finally, we met the treatment goal of rehabilitation of the chewing function, and a satisfying smiling appearance