Functional and aesthetic rehabilitation in patient with anterior open bite: a case report

Lauren Oliveira Lima Bohner, Dalva Cruz Laganá, Piero Rocha Zanardi, Newton Sesma, Pedro Tortamano Neto

This clinical report presents an oral rehabilitation performed in a patient with anterior open bite, whose main complaint was the fracture in a posterior restoration and aesthetics of the anterior teeth. After detailed examination, an increased vertical dimensional was observed, caused by premature contact of a posterior tooth. Treatment planning was defined to reestablish the vertical dimension by means of occlusal adjustment, which was first performed in dental casts mounted on articulator. Then the same procedure was clinically performed by selective occlusal reshaping and replacement of dental amalgam restorations. Protrusive guidance was achieved by replacing the laminate veneers. The aesthetic and functional features defined during occlusal adjustment and provisional manufacturing were accurately reproduced in the final restorations, allowing a satisfactory result. The establishment of vertical dimension before aesthetic rehabilitation plays a key role in achieving successful treatment outcomes.

Keywords: Vertical dimension. Occlusal adjustment. Dental veneers.

How to cite: Bohner LOL, Laganá DC, Zanardi PR, Sesma N, Tortamano Neto P. Functional and aesthetic rehabilitation in patient with anterior open bite: a case report. J Clin Dent Res. 2017 Apr-June;14(2):100-7. DOI: https://doi.org/10.14436/2447-911x.14.2.100-107.oar

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