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Sierpinska T, Kuc J, Golebiewska M. Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment. Open Dent J. 2013;7:55-61doi: 10.2174/1874210601307010055.
Sierpinska, T., Kuc, J., & Golebiewska, M. (2013). Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment. The open dentistry journal, 755-61. https://doi.org/10.2174/1874210601307010055
Sierpinska, Teresa, et al. "Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment." The open dentistry journal vol. 7 (2013): 55-61. doi: https://doi.org/10.2174/1874210601307010055
Sierpinska T, Kuc J, Golebiewska M. Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment. Open Dent J. 2013 May 17;7:55-61. doi: 10.2174/1874210601307010055. Print 2013. PMID: 23802024; PMCID: PMC3681002.
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Open Dent J. 2013 May 17;7:55-61. doi: 10.2174/1874210601307010055. Print 2013.

Morphological and Functional Parameters in Patients with Tooth Wear before and after Treatment.

The open dentistry journal

Teresa Sierpinska, Joanna Kuc, Maria Golebiewska

Affiliations

  1. Department of Prosthetic Dentistry, Medical University of Bialystok, Poland.

PMID: 23802024 PMCID: PMC3681002 DOI: 10.2174/1874210601307010055

Abstract

UNLABELLED: Advanced tooth wear often results in lost vertical dimension and impacts facial aesthetics. Complex restorative treatment can replace the lost tooth structure and improve functional occlusal and facial skeleton parameters.

PURPOSE: The aim of the study is to assess changes in the morphological and functional occlusal parameters of the facial skeleton after prosthetic rehabilitation that increased lost occlusal vertical dimension.

MATERIAL AND METHODOLOGY: 50 patients with advanced tooth wear were clinically examined, to assess the degree of wear. Each subject underwent cephalometric analysis, digital occlusal analysis, and electromyographic analysis, of the anterior temporalis, superficial masetter, anterior digastric, and the sternocleidomastoid muscles. Prosthodontic treatment was performed to restore the occlusal vertical dimension of each subject's occlusion, which was followed by repeating the pretreatment analyses. Pre and post treatment parameters were statistically compared.

RESULTS: Pre-treatment cephalometric analysis showed that lost vertical dimension reduced anterior facial height and resulted in small angular skeletal parameters. Post treatment anterior facial height increased from the increased occlusal vertical dimension. The mean value of functional electrical activity during clenching post treatment, increased compared to pretreatment.

CONCLUSION: Increasing the vertical dimension of occlusion improved facial aesthetics by positively affecting facial skeletal angles. The restored occlusal surface morphology changed the pre treatment flat broad occlusal contacts into more point contacts. The increased vertical dimension of occlusion after treatment also increased muscle activity levels over the pretreatment levels after three months period of adaptation.

Keywords: Cephalometric analysis; EMG; T-Scan.; occlusal vertical dimension; rehabilitation; tooth wear

References

  1. Scand J Dent Res. 1992 Oct;100(5):284-91 - PubMed
  2. J Oral Rehabil. 2008 Jun;35(6):446-53 - PubMed
  3. Oral Dis. 2001 Mar;7(2):94-100 - PubMed
  4. Angle Orthod. 1998 Jun;68(3):233-8 - PubMed
  5. Am J Orthod. 1984 Dec;86(6):449-69 - PubMed
  6. J Oral Rehabil. 1998 May;25(5):370-5 - PubMed
  7. Angle Orthod. 1994;64(4):244-5 - PubMed
  8. Scand J Dent Res. 1994 Apr;102(2):92-6 - PubMed
  9. Br Dent J. 1984 Jun 23;156(12):435-8 - PubMed
  10. J Dent Res. 2003 Mar;82(3):212-7 - PubMed
  11. J Prosthet Dent. 1991 Nov;66(5):677-86 - PubMed
  12. Am J Orthod Dentofacial Orthop. 2000 Jul;118(1):63-8 - PubMed
  13. J Dent. 2004 Aug;32(6):451-7 - PubMed
  14. J Oral Rehabil. 2006 May;33(5):341-8 - PubMed
  15. J Oral Rehabil. 2005 Feb;32(2):79-84 - PubMed
  16. Cranio. 2004 Apr;22(2):96-109 - PubMed
  17. J Oral Rehabil. 2008 Jul;35(7):548-66 - PubMed
  18. J Dent Res. 1999 Jul;78(7):1336-44 - PubMed
  19. Br Dent J. 2001 Sep 8;191(5):235-8, 241-5 - PubMed
  20. Clin Orthod Res. 1999 Aug;2(3):162-70 - PubMed
  21. Am J Orthod Dentofacial Orthop. 1995 Mar;107(3):286-92 - PubMed

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