title: Rehabilitation of a patient with an elusive medical history and loss of occlusal vertical dimension.
abstract: In this clinical report, we describe the medical history, diagnosis and prosthodontic treatment of a 61-year-old man with a previous history of oral cancer. Loss of a full upper denture and severe erosion of his teeth prompted the patient to seek treatment at the dental clinic at the British Columbia Cancer Agency. Although he stated that he was being treated for a sleeping disorder, hospital records revealed multiple recent admissions for alcoholism and depression. The patient's limited finances prevented complex restoration of worn lower dentition; thus, definitive treatment consisted of extraction of teeth with a poor prognosis, removal of a glandular odontogenic cyst and fabrication of a full maxillary prosthesis and a removable mandibular cast-metal overlay.
authors.affiliation: Department of prosthodontics and dental geriatrics, graduate prosthodontics, University of British Columbia, Vancouver BC, Canada.
authors.forename: Angela T T
authors.initials: AT
authors.lastname: Wong
authors.forename: Caroline T
authors.initials: CT
authors.lastname: Nguyen
mesh_terms: D000437:Alcoholism / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000150:complications; D003827:Denture, Complete, Upper; D003828:Denture, Overlay; D003863:Depression / Q000150:complications; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000209:etiology / Q000534:rehabilitation*; D008487:Medical History Taking; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000150:complications; D009065:Mouth Rehabilitation / Q000191:economics / Q000379:methods; D009807:Odontogenic Cysts / Q000150:complications / Q000534:rehabilitation; D014077:Tooth Erosion / Q000150:complications* / Q000534:rehabilitation*; D014081:Tooth Extraction; D014716:Vertical Dimension