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Comprehensive dental rehabilitation for partial edentulism, tooth wear and occlusal dysfunction with Nobel Biocare implants

Comprehensive dental rehabilitation for partial edentulism, tooth wear and occlusal dysfunction with Nobel Biocare implants

Complaints:

Unsatisfactory smile esthetics, excessive tooth wear, and missing posterior teeth resulting in significantly impaired chewing function.

Diagnosis:

Secondary partial edentulism (teeth 2.6, 3.6, and 4.6). Pathological wear of the hard dental tissues. Occlusal disharmony of the stomatognathic system.

Treatment:

To address this complex clinical case, a comprehensive treatment approach combining surgical, prosthetic, and gnathological therapy was implemented. During the planning stage, a detailed gnathological assessment was performed to determine the correct centric jaw relationship, analyze mandibular movements, and accurately calculate the new vertical dimension of occlusion (bite elevation). During the surgical stage, Swiss Nobel Biocare implants were placed in the areas of the missing teeth (2.6, 3.6, and 4.6). Soft tissue augmentation was also performed using connective tissue grafts (CTG) to increase gingival thickness. After 4 months, implant osseointegration was confirmed, and healing abutments were placed. During the final prosthetic stage, ceramic veneers were fabricated to restore the natural teeth, while zirconia crowns were fixed onto the implants. Full-mouth prosthetic rehabilitation was completed according to the findings of the gnathological analysis, including restoration of the vertical dimension of occlusion. This approach restored proper chewing function and achieved ideal articulation and occlusal harmony.

In this case, the patient was concerned not only about the absence of several chewing teeth but also about severe tooth wear of the remaining teeth, which had led to bite dysfunction and reduced chewing efficiency.

For this reason, treatment required a comprehensive approach involving a gnathologist, implant surgeon, and prosthodontist.

Before treatment, a gnathological assessment was performed to determine the correct jaw position and plan restoration of the proper bite height.

To replace the missing teeth, Nobel Biocare implants were placed in the areas of teeth 2.6, 3.6, and 4.6. At the same time, soft tissue augmentation with connective tissue grafts was performed to improve the condition of the gums around the future restorations.

After successful osseointegration, full-mouth prosthetic rehabilitation was completed: the patient's natural teeth were restored with ceramic veneers, while zirconia crowns were fixed on the implants.

The treatment was carried out according to the findings of the gnathological assessment and included restoration of the proper vertical dimension of occlusion.

Result:

Missing teeth, chewing function, and smile aesthetics were successfully restored.

It was also possible to normalize the function of the stomatognathic system, restore the correct bite height, and establish harmonious occlusal contacts.

If your teeth are wearing down and missing chewing teeth are affecting your bite, it is important to address not only the visible defects but also the underlying cause of functional problems.

Learn more about implant-supported tooth restoration and comprehensive prosthetic rehabilitation.

Treatment performed by:

Surgical treatment performed by oral and implant surgeon
Mykola Fedoryshyn