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  • Kapalı Erişim
    Yayın
    Functional and esthetic outcomes of full-mouth rehabilitation following vertical dimension reestablishment using posterior composite build-ups: A case report
    (Dennis Barber Journals, 2025) Papatya, Zeynep; Güler, Edanur; Karabulut, Dicle; Özdal, Umut
    Introduction: Loss of vertical dimension of occlusion (VDO) is a clinical condition that can significantly impact both function and esthetics. It may lead to impaired mastication, temporomandibular joint (TMJ) discomfort, facial disharmony, and reduced quality of life. Restoring VDO requires a systematic approach involving proper evaluation, neuromuscular adaptation, and establishment of a stable occlusal and TMJ relationship. This case report presents the functional and esthetic outcomes of full-mouth rehabilitation following VDO reestablishment using posterior composite build-ups and a gradual increase in occlusal height to promote TMJ stabilization. Case Description: A patient with reduced VDO was treated with posterior composite resin build-ups. The vertical dimension was increased by 1 mm per week over five weeks, allowing neuromuscular adaptation and TMJ repositioning. After successful adaptation, definitive restorations were completed. Pressable ceramic (e.max) laminate veneers were placed from first premolar to first premolar (5–5) in both arches. Zirconia crowns were used on the first and second molars (6 and 7). Throughout the procedure, esthetic, functional, and occlusal parameters were carefully monitored to ensure optimal outcomes. The patient adapted well to the new VDO, showing marked improvement in facial esthetics and occlusal function. High patient satisfaction was reported at the conclusion of treatment. Discussion: This case highlights the effectiveness of a controlled, stepwise approach to VDO restoration. Using composite build-ups allowed reversible testing of neuromuscular tolerance before final restorations. The combination of e.max veneers and zirconia crowns restored function and esthetics while preserving TMJ stability. No complications were observed during the one-month follow up, supporting the short-term success of the approach. Long term monitoring is essential to confirm the durability of results.
  • Kapalı Erişim
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    Mandibular overdenture supported by two canines: A two-year clinical follow-up case report
    (Dennis Barber Journals, 2025) Eyidemir, Bahar; Güler, Edanur; Papatya, Zeynep; Dilaverler Yardım, Esra Ayşe
    Introduction: Mandibular complete dentures often present insufficient retention and stability due to anatomical limitations in edentulous patients. Although implant therapy is commonly used to address these issues, it may not be feasible in patients with systemic conditions that contraindicate surgical interventions. In such cases, preserving and utilizing remaining natural teeth as abutments can enhance prosthetic success while minimizing invasiveness and improving patient comfort. Tooth-supported overdentures are a valuable alternative, particularly when strategic teeth such as canines are available. Case Description: A 60-year-old male patient with a history of diabetes mellitus presented with complaints of instability in his mandibular complete denture. The patient exhibited a fully edentulous maxilla and retained only two mandibular canines. Implant therapy was contraindicated due to his systemic condition. As an alternative, a tooth supported mandibular overdenture was planned. Clinical and radiographic evaluations confirmed that both canines were periodontally and structurally suitable for overdenture support. Endodontic treatment was performed, and the clinical crowns were reduced to allow sufficient space for prosthetic components. Cast copings with ball attachments were fabricated and cemented. A mandibular overdenture incorporating matching female housings was constructed and delivered. A conventional complete denture was also fabricated for the maxilla. The patient was recalled every six months for clinical evaluation and maintenance. Over a two-year follow-up period, no complications such as attachment loosening, mucosal irritation, or abutment failure were observed. The patient reported high satisfaction in terms of masticatory function, prosthesis stability. Discussion: This case demonstrates that, in patients for whom implant therapy is contraindicated, mandibular overdentures supported by two natural canines with ball attachments can offer a stable, functional, and long-term treatment solution. Tooth-supported overdentures provide biomechanical advantages and improve patient satisfaction through a minimally invasive approach. The strategic use of retained natural teeth, particularly canines, remains a clinically effective alternative for managing mandibular edentulism.