title: Direct restorative treatment of anterior weared teeth after re-establishment of occlusal vertical dimension: a case report.
abstract: OBJECTIVE
  The loss of posterior teeth resulting in a lack of stability may lead to excessive mandibular load on some points of occlusion of the remaining teeth, causing wear. The rehabilitation of these cases must be carefully planned and the treatment requires a period of adaptation with a new vertical dimension.
  
  
  BACKGROUND
  This case report describes the treatment of a patient with a loss of almost all posterior inferior teeth and a consequential loss of occlusal vertical dimension and accentuated wear of anterior elements.
  
  
  METHODS
  Provisional removable partial dentures were manufactured and the patient used them for a period of adaptation prior to restoration of the anterior teeth. After the patient's adaptation with the new occlusal dimension, anterior restorations were made using a mycrohibrid resin composite with different color aspects for an optimal stratification.
  
  
  RESULTS
  The restorations achieved an aesthetic configuration with ideal function as the final result and the occlusion showed a satisfactory stability for a provisional removable partial dentures.
  
  
  CONCLUSIONS
  This article presents an anterior direct rehabilitation approach not only as an alternative option, but also as viable and less expensive treatment option with an optimally aesthetic and functional result.
authors.affiliation: Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, São Paulo, Brazil. mmchumel@yahoo.com.br
authors.forename: Maria M C
authors.initials: MM
authors.lastname: Humel
authors.forename: Jessica M F K
authors.initials: JM
authors.lastname: Takahashi
authors.forename: Luis A M S
authors.initials: LA
authors.lastname: Paulillo
authors.forename: Marcelo F
authors.initials: MF
authors.lastname: Mesquita
authors.forename: Luis R M
authors.initials: LR
authors.lastname: Martins
mesh_terms: D000368:Aged; D003766:Dental Occlusion; D003793:Dental Restoration, Permanent / Q000379:methods*; D003779:Denture Design; D003832:Denture, Partial, Removable; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000628:therapy*; D008297:Male; D014716:Vertical Dimension