Browsing by Author "Castro, Lucía Sánchez de"
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- Rehabilitation of the occlusal vertical dimension (OVD) in patients with severe dental wear = Reabilitação da dimensão vertical de oclusão (DVO) em pacientes com desgaste dentário severoPublication . Castro, Lucía Sánchez de; Vieira, Ana MariaIntroduction: the occlusal vertical dimension (OVD) refers to the length of the face as determined by the amount of separation between two points of the jaws: one fixed point in the maxilla and another mobile point in the mandible, when the teeth are in maximum intercuspation. The OVD is often diminished in patients with severe tooth wear. Many of these patients come to the clinic due to sensibility and / or pain, difficulty chewing and eating, or cosmetic problems, depending on the degree of dental wear. According to the severity of wear, the most appropriate technique is chosen for each patient as well as the material that suits best. Quite often the rehabilitation will require the restoration of the OVD. Aims: The objectives of this thesis were to make a literature review on the different techniques used to restore the OVD and rehabilitate the worn dentition in patients with severe dental wear, and to compare the long-term results of each approach. Methodology: A literature review was done using online data bases such as Cochrane, ScienceDirect, PubMed and MedLine. The key-words used were severe tooth wear, full-mouth adhesive rehabilitation, restoration of Occlusal Vertical Dimension and minimally invasive dentistry. The search included publications in peer-reviewed indexed papers published between 2000 and 2019, in English and Spanish. Of the 3657 articles found, 3590 were excluded for not meeting the predefined requirements and 67 articles were included in the study. Conclusion: Full mouth rehabilitation based on full crown coverage does not appear to be the treatment of choice for patients with severe wear. Instead, a full mouth adhesive rehabilitation is recommended, this treatment approach makes the dentist's job easier during planning and execution and also because it is more conservative.