Extending the Use of a Diagnostic Occlusal Splint to overcome Existing Lacunae of Vertical Dimension Transfer in Full Mouth Rehabilitation Cases

Nupur Rathi¹, Khurshid Mattoo^2, and Shalya Bhatnagar³

¹Prosthodontics, Teerthankar dental college, Moradabad, Uttar Pradesh, India

²Prosthodontics, College of dental sciences, Jazan University, KSA

³Conservative dentistry, Subharti dental college, Meerut, India

Cite this paper:
Nupur Rathi, Khurshid Mattoo and Shalya Bhatnagar. Extending the Use of a Diagnostic Occlusal Splint to overcome Existing Lacunae of Vertical Dimension Transfer in Full Mouth Rehabilitation Cases. American Journal of Medical Case Reports. 2014; 2(12):291-297. doi: 10.12691/ajmcr-2-12-9

Abstract

Full mouth rehabilitation involving an increase in vertical dimension of occlusion presents lacunae in accurate and definite transfer of diagnosed and verified vertical dimension of occlusion, biologically compatible with the stomatognathic system. Currently, vertical dimension to be incorporated within the restorations is done arbitrarily by adjustment of vertical pin of articulators in the laboratory, which is graduated in difference of a minimum of 1 mm. This article describes an innovative and extended use of a diagnostic occlusal splint to overcome the lacunae. The technique utilizes the diagnostic occlusal splint to transfer vertical dimensions at various stages of mounting of working casts thereby incorporating the clinically verified vertical dimensions in the final prosthesis. The technique involves splitting the diagnostic occlusal splint into anterior and posterior half. On the posterior half further centric relation records are then made. At the same time the technique described eliminates errors incorporated as a result of frequent use of face bow index record and/or arbitrary adjustment of the articulator as well as the difference between clinical determination of vertical dimension and the arbitrary laboratory adjustment on the articulator.

Keywords:
occlusion attrition amelogenesis imperfecta diagnostic splint

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References:

[1]	Spokes C. Case of faulty enamel. Br J Dent Sci 1890; 33: 750-752.
[2]	Witkop CJ. Amelogenesis imperfecta, dentinogenesis imperfecta and dentin dysplasia revisited: Problems in classification. J Oral Pathol 1988; 17: 547-553.
[3]	Witkop CJ, Sauk JJ. 1976. Heritable defects of enamel. In: Stewart RE, Prescott GH (Eds.), Oral Facial Genetics. Mosby St. Louis, pp. 151-226.
[4]	Aldred MJ, Crawford PJM. Molecular biology of hereditary enamel defects. Ciba Found Symp 1997; 205: 200-209.
[5]	Sundell S. Hereditary amelogenesis imperfecta. I. Oral health in children. Swed Dent J 1986; 10: 151-163.
[6]	Walls AWG. Amelogenesis imperfecta with progressive root resorption. Br Dent J 1987; 162: 466-467.
[7]	Rowley R, Hill FJ, Winter GB. An investigation of the association between anterior open-bite and amelogenesis imperfecta. Am J Orthod 1982; 81: 229-235.
[8]	Collins MA, Mauriello SM, Tyndall DA, Wright JT. Dental anomalies associated with amelogenesis imperfecta. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 358-364.
[9]	Winter GB. Amelogenesis imperfecta with enamel opacities and taurodontism: An alternative diagnosis for “idiopathic dental fluorosis.” Br Dent J 1996; 181: 167-172.
[10]	Witkop CJ. Hereditary defects in enamel and dentin. Acta genet 1957; 236-239.
[11]	Chosak A, Eldelman E, Wistoski I, Cohen T. Amelogenesis imperfect among Israeli jews and description of a new type of local hypoplastic autosomal recessive amelogenesis imperfect. Oral surg 1979; 47: 148-156.
[12]	Sundell S, Koch G. Hereditary amelogenesis imperfecta. Epidemiology and classification in a Swedish child population. Swed Dent J 1985; 9: 157-169.
[13]	Backman B, Holm AK, Amelogenesis imperfecta prevalence and incidence in a northern Swedish county. Community Dent Oral Epidemiol 1986; 14: 43-47.
[14]	Peumans M, Van Meerbeek B, Lambrechts P, Vanharle G. Porcelain veneers: A review of the literature. J Dent 2000; 28: 163-77.
[15]	Zalkind M, Hochman N. Laminate veneer provisional restorations: a clinical report. J Prosthet Dent 1997; 77: 109-10.
[16]	Karlsson S, Landahl I, Stegersjo G, Milleding P. A clinical evaluation of ceramic laminate veneers. Int J Prosthodont 1992; 5: 447-51.
[17]	Meijering AC, Creughers NH, Roeters FJ, Mulder J. Survival of three types of veneer restorations in a clinical trial: 2.5-year interim evaluation. J Dent 1998; 26: 563-8.
[18]	Rucker LM, Richter W, MacEntee M, Richardson A. Porcelain and resin veneers clinically evaluated: 2 year results. J Am Dent Assoc 1990; 121: 594-6.
[19]	Seow WK. Clinical diagnosis and management strategies of amelogenesis imperfecta variants. Pediatr Dent 1993; 15: 384-93.
[20]	Ayers KMS, Drummond BK, Harding WJ, Salis SG, Liston PN. Amelogenesis imperfecta-multidisciplinary management from eruption to adulthood. Review and case report. N Z Dent J 2004; 100: 101-4.
[21]	Coffield KD, Phillips C, Brady M, Roberts MW, Strauss RP, Wright JT. The psychosocial impact of developmental dental defects in people with hereditary amelogenesis imperfecta. J Am Dent Assoc 2005; 136: 620-30.
[22]	Rada ER, Hasiakos PS. Current treatment modalities in the conservative restoration of amelogenesis imperfecta: a case report. Quintessence Int 1990; 21: 937-42.
[23]	Greenfield R, Iacono V, Zove S, Baer P. Periodontal and prosthodontic treatment of amelogenesis imperfecta: a clinical report. J Prosthet Dent 1992; 68: 572-4.
[24]	Konis AB. Treatment of enamel hypoplasia in young adults. NY State Dent J 1993; 59: 38-40.
[25]	Lumley PJ, Rollings AJ. Amelogenesis imperfecta: a method of reconstruction. Dent Update 1993; 20: 252-5.
[26]	Bedi R. The management of children with amelogenesis imperfecta. Restorative Dent 1989; 5: 31-4.
[27]	Mackie IC, Blinkhorn AS. Amelogenesis imperfecta: early interception to prevent attrition. Dent Update 1991; 18: 79-80.
[28]	Wright JT, Waite P, Mueninghoff L, Sarver DM. The multidisciplinary approach of managing enamel defects. J Am Dent Assoc 1991; 122: 62-5.
[29]	Bouvier D, Duprez JP, Bois D. Rehabilitation of young patients with Amelogenesis imperfecta: a report of two cases. ASDC J Dent Child 1996; 63: 443-7.
[30]	Lamb DJ: The treatment of amelogenesis imperfecta. J Prosthet Dent 1976; 36: 286-291.
[31]	Malonc W, Bamla FN: Early treatment of Amelogenesis imperfecta. J Prosthet Dent 1966; 16: 540-544.
[32]	Storie DQ, Cheatham JL: Management of amelogenesis imperfecta by periodontal and prosthodontic therapy. J Prosthet Dent 1970; 24: 608-615.
[33]	Ma RE, Hasiakos PS: Current treatment modalities in the conservative restoration of amelogenesis imperfecta: A case report. Quintessence Int 1990; 21: 937-942.
[34]	Patel RA, Hovijitra S, Kafrauy AH et al: X-linked (recessive) hypomaturation amelogenesis imperfecta: A prosthodontic, genetic and histopathologic report. J Prosthet Dent 1991; 66: 398-402.
[35]	Renner RF, Ferguson FS: Overdenture management of arnelogenesis imperfecta. Quintessence Int 1983; 14: 1009-1022.
[36]	Costello PJ: The provision of over dentures for a patient with amelogenesis imperfecta. J Irish Dent Assoc 1985; 31: 15-16.
[37]	Geoffrey A. Thompson, Jeny M. Schwartz: Oral Rehabilitation of a Patient with Amelogenesis Imperfecta. J Prosthod 1997; 6: 257-264.
[38]	Mink JR, Okeson JP. Fixed prosthodontics for the young adolescent. In: Goldman HM. Current therapy in dentistry. Vol. VI. St. Louis: Mosby; 1977. p. 493-503.
[39]	Goodacre CJ, Guillermo B, Rungcharassaeng, Kan JYK. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003; 90: 121-32.
[40]	Kostoulas I, Kourtis S, Andritsakis D, Doukoudakis A. Functional and esthetic rehabilitation in amelogenesis imperfecta with all-ceramic restorations: a case report. Quintessence Int 2005 May; 36 (5): 329-38.
[41]	Light EI, Rakow B, Fraze RL. An esthetic transitional treatment for amelogenesis imperfecta: report of two cases. J Am Dent Assoc 1975 Jan; 90 (1): 166-70.
[42]	Rosenblum SH. Restorative and Orthodontic treatment of an adolescent patient with amelogenesis imperfecta. Pediatr Dent 1999 Jul-Aug; 21 (4): 289-92.
[43]	Sengun A, Ozer F. Restoring function and esthetics in a patient with amelogenesis imperfecta: a case report. Quintessence Int 2002 Mar; 33 (3): 199-204.
[44]	Ibbetson RJ, Setchell DJ. Treatment of worn dentition: 2 Dent Update 1989; 16: 305-07
[45]	Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent 1984; 52: 467-74.
[46]	Hemmings KW, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000; 83: 287-93.
[47]	Darbar UR, Hemmings KW. Treatments of localized anterior tooth wear with composite restorations at an increased occlusal vertical dimension. Dent Update 1997; 24: 72-5.
[48]	Johansson A, Johansson AK, Omar R, Carlsson GE. Rehabilitation of the worn dentition. J Oral Rehabil 2008; 35: 548-66.
[49]	Jahangiri L, Jang S. Onlay partial denture technique for assessment of adequate occlusal vertical dimension: a clinical report. J Prosthet Dent 2002; 87: 1-4.
[50]	Sato S, Hotta TH, Pedrazzi V. Removable occlusal overlay splint in the management of tooth wear: a clinical report. J Prosthet Dent 2000; 83: 392-5.
[51]	Brown KE. Reconstruction considerations for severe dental attrition. J Prosthet Dent 1980; 44: 384-8.
[52]	Widmalm SE, Lee YS, McKay DC. Clinical use of qualitative electromyography in the evaluation of jaw muscle function: a practitioner’s guide. Cranio. 2007; 25 (1): 63-73.
[53]	Niemann W. The bicuspid block MORA convertible appliance. Funct Orthod. 2004; 21 (1): 12-26.
[54]	Mattoo KA, Rathi N, Goswami R. Differences in Mental Attitude towards Extensive Dental Treatments between Two Siblings Suffering from Amelogenesis Imperfecta”-Two Case Reports and Literature Review International Journal of Dental Sciences and Research, 2014; 2 (6): 123-127