Functional and esthetic outcomes of full-mouth rehabilitation following vertical dimension reestablishment using posterior composite build-ups: A case report

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dc.authorid0009-0001-9043-6937
dc.authorid0000-0002-3217-6858
dc.contributor.authorPapatya, Zeynep
dc.contributor.authorGüler, Edanur
dc.contributor.authorKarabulut, Dicle
dc.contributor.authorÖzdal, Umut
dc.date.accessioned2026-04-30T10:27:00Z
dc.date.available2026-04-30T10:27:00Z
dc.date.issued2025
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Protetik Diş Tedavisi Ana Bilim Dalı
dc.departmentEnstitüler, Lisansüstü Eğitim Enstitüsü, Protetik Diş Tedavisi Programı
dc.description.abstractIntroduction: 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.
dc.identifier.citationPapatya, Z., Güler, E., Karabulut, D., & Özdal, U. (2025). Functional and esthetic outcomes of full-mouth rehabilitation following vertical dimension reestablishment using posterior composite build-ups: A case report. M. Özcan (Ed.), Abstracts from the 48th Annual Conference of the European Prosthodontic Association (EPA) 11th - 13th September 2025 Cappadocia, Turkey Poster Presentations, (p. 45), Cappadocia, Dennis Barber Journals.
dc.identifier.endpage45
dc.identifier.issn2396-8893
dc.identifier.issn0965-7452
dc.identifier.scopusqualityQ1
dc.identifier.startpage45
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1455
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherESCI - Emerging Sources Citation Index
dc.institutionauthorPapatya, Zeynep
dc.institutionauthorGüler, Edanur
dc.institutionauthorKarabulut, Dicle
dc.institutionauthorÖzdal, Umut
dc.institutionauthorid0009-0001-9043-6937
dc.institutionauthorid0000-0002-3217-6858
dc.language.isoen
dc.publisherDennis Barber Journals
dc.relation.ispartofAbstracts from the 48th Annual Conference of the European Prosthodontic Association (EPA) 11th - 13th September 2025 Cappadocia, Turkey Poster Presentations
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectVertical Dimension of Occlusion (VDO)
dc.subjectFull-Mouth Rehabilitation
dc.subjectComposite Build-Up
dc.subjectNeuromuscular Adaptation
dc.subjectTMJ Stability
dc.subjectEsthetic Dentistry
dc.titleFunctional and esthetic outcomes of full-mouth rehabilitation following vertical dimension reestablishment using posterior composite build-ups: A case report
dc.typeConference Object
dspace.entity.typePublication

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