Reabilitação oral em desgaste dentário severo generalizado com ausência de suporte posterior: Um relato de caso

Abstract

The aim of this study was to present the oral rehabilitation method used to clinically resolve a patient with severe generalized tooth wear with absence of posterior support. The patient, a 55-year-old male, attended the dental clinic of the School of Dentistry of the Federal University of Mato Grosso do Sul (FAODO/UFMS), complaining of missing teeth, worn teeth and difficulty in eating. The extraoral physical examination identified loss of Vertical Dimension of Occlusion (DVO) without muscular alterations and orofacial pain, while the intraoral examination identified missing teeth and severe generalized tooth wear. The treatment plan was divided into phases: Phase 1: hygiene conditioning, endodontic treatment and extraction; Phase 2: milled metal-ceramic fixed prosthesis; Phase 3: Upper removable partial denture; Phase 4: Lower removable overlay prosthesis; Phase 5: Restoration of lower teeth; and Phase 6: Lower removable partial denture. This case demonstrates that the use of removable prostheses and low-cost fixed restorations are effective in resolving cases of severe generalized tooth wear with no posterior support, and is a low-cost rehabilitation treatment with high reversibility capacity.