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THE EFFECTIVENESS OF SINGLE CERAMIC RESTORATIONS IN THE REHABILITATION OF VERTICAL DIMENSION IN PATIENTS WITH MODERATE TO SEVERE TOOTH WEAR: SYSTEMATIC REVIEW AND CLINICAL CASE REPORT
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Abstract
Objective: This systematic review aims to evaluate the effectiveness of single ceramic restorations in the vertical dimension rehabilitation for patients with moderate to severe tooth wear. Subject and method: A systematic review method was employed to collect and analyze articles from various sources such as PubMed, ScienceDirect, Google Scholar, and Cochrane. Results: A total of 19 studies were found, including 11 case report studies, 04 retrospective studies, 01 prospective study, 02 clinical trials, 01 clinical follow-up. The findings of this review indicate that ceramic restorations, especially lithium disilicate and zirconia, are highly effective in increasing the vertical dimension in patients with tooth wear, within a range of 1 mm to 7 mm. These materials show long-term stability with survival rates above 90%, reaching up to 100% in cases with different restoration types. Objective: To evaluate the effectiveness of single ceramic restorations in the rehabilitation of vertical dimension of occlusion in patients with moderate to severe tooth wear. Conclusion: Ceramic restorations provide high patient satisfaction post-treatment by improving both function and aesthetics. Clinical case: A 52-year-old female patient presented with severely worn dentition and a loss of approximately 4 mm in vertical dimension of occlusion (VDO). After endodontic treatment and provisional restorations with a gradual VDO increase, definitive full-mouth rehabilitation was performed using monolithic zirconia crowns in posterior teeth and lithium disilicate veneer (mặt dán sứ) in anterior teeth. After 12 months of follow-up, the patient showed stable function, improved aesthetics, and no temporomandibular joint symptoms, with high satisfaction. This case illustrates the effectiveness and safety of single ceramic restorations in the rehabilitation of VDO in severe tooth wear.
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Keywords
restoration, ceramic, tooth wear, vertical dimension.
References
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