Rehabilitation of Excessive Wear and Loss of Vertical Dimension with Temporary Acrylic-Based Overlay Removable partial denture: 2 Cases Report

Abstract

The oral rehabilitation of patients with severe tooth wear and loss of vertical dimension is a complex process requiring multidisciplinary knowledge for accurate diagnosis and treatment planning. This involves comprehensive intraoral and extraoral examinations to determine the causes of tooth wear and assess vertical dimension loss, leading to an individualized treatment plan and appropriate selection of restorative materials and prosthetic designs. Various approaches to vertical dimension restoration include direct restorations, crowns, onlays, dental implants, fixed prosthesis, and removable denture. The primary objective of such rehabilitation is to restore an optimal vertical dimension, improve masticatory function, and enhance esthetics. This case report presents two patients who underwent oral rehabilitation using an acrylic-based overlay removable partial denture. Following a thorough diagnosis, the treatment plan was collaboratively developed with the patient, considering factors such as treatment duration, minimal alteration to the oral cavity, ease of repair, and suitability for patients with financial and health constraints. Despite its advantages, the Acrylic-based overlay removable partial denture requires careful maintenance, as it covers multiple teeth, which may impact oral hygiene. After prosthesis placement, the patient experienced improved masticatory function and esthetics. Regular follow-up visits are essential to monitor oral health and maintain the integrity of the remaining dentition and periodontal structures.