Abstract

VELASQUEZ-RON, B et al. DATO Protocol for the oral rehabilitation of bruxism patient: clinical case report. Av Odontoestomatol [online]. 2022, vol.38, n.2, pp.64-70.  Epub Dec 05, 2022. ISSN 2340-3152.  https://dx.doi.org/10.4321/s0213-12852022000200004.

Bruxism man patient 53-year-old superior partial edentulous with loss of tooth pieces 25.26 absence of canine guides, widespread faceting in upper and lower back teeth, central and eccentric cusp, vertical dimension alteration. Decreased inter-articular space, morphological change of surface in condyles. Functional encloses and diagnostics were developed in centric relationship, work by sector: one canine to canine jaw, two canine to maxillary canine, three from premolar to mandibular molar, four from premolar to maxillary molar. Tooth carving, sector 1 and 2 provisionalization for 21 days. Stabilized occlusion proceeds to take jaw prints for the production of onlay's, overlay's and lithium disilicate crowns in mandible, and placement of trabecular implants with digital surgical guide (Zimmer's 3.70 × 11.5 osseointegration 21 days). Cementation of jaw restorations. Definitive rehabilitation of maxilla with implant printing socket (scan body), carved teeth. Complete cementation of restorations, placement of permissible organic plate with canine guide. We determined bilateral simultaneous optimal contacts, occlusion in central relationship, phonetics, vertical dimension and suitable canineguides. Patient function, aesthetics are restored.

Keywords : Mounth Rehabilitation; dental esthetics; bruxism sleep; temporomandibular joint disorders; occlusal splint.

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