Gamze MANDALI, Arzu Zeynep Yıldırım BİÇER, Zeynep BULUT, Hasan ÜLGEN

Aşınmış Dişlerde Protetik Yaklaşımlar

Diş aşınması, diş sert dokusunun patolojik yıkımı ile karakterizedir. Etyolojisi, dış ve iç kaynaklı asitler, mekanik aşınma ve çiğneme kuvvetleri altında dişlerin esnemesi gibi pek çok faktöre bağlıdır. Aşırı oklüzal aşınma dikey boyut kaybına neden olabilir. 41 yaşında kadın hasta TME şikayeti ile kliniğimize başvurdu. Hastanın oklüzal dikey boyutunun 4 mm yükseltilmesi için maxiller sentrik ilişki splinti yapıldı. Alt ve üst çene dişleri metal destekli seramik kronlar ile restore edildi. Dikey boyut yükseltilmesi ve metal destekli seramik kronlar ile hastanın estetik ve fonksiyonu ger kazandırıldı.53 yaşındaki erkek hasta estetik ve fonksiyon kaybı şikayeti ile kliniğimize başvurdu. Üst çene ön dişlere kron boyunun uzatılması için post kor restorasyon uygulandı. Hastanın üst alt dişleri metal destekli seramik kron ve hareketli bölümlü protez ile restore edildi

Anahtar Kelimeler:

aşınma, dikey boyut, oklüzal splint post-kor

Prothetic Approaches To Wear Teeth

Tooth wear is characterized by the loss of hard dental tissue. Its etiology seems to be related to different factors: hexogen and endogen acids, mechanical abrasion, tooth flexion under axial and non-axial loads. Excessive occlusal wear may manifest itself as reduction of the vertical dimension of occlusion.A 41-year-old woman was refered to our clinic with TME pain. First of all a maxillar centric-relationship splint which increased occlusal vertical dimension 4 mm was fabricated. Superior and inferior archs were restored with metal-ceramic crowns. In conclusion, patient’s esthetics and function was provided with increasing vertical dimension of occlusion and metal-ceramic crowns. An 53 –year- old man with a complaint of poor esthetic and functional problems was referred to our clinic. Post-core restorations were applied at maxillar anterior for increasing dimension of anterior crowns. Patient’s maxillar and mandibular arch were restored with metalceramic crowns and partial removable dentures

Keywords:

tooth wear vertical dimension, occlusal splint, post-core,

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