Restoring the Lost Functional Harmony in a Mutilated Dentition using Hobo's Twin Stage Concept of Full Mouth Rehabilitation.
Reorganization of an occlusion in a mutilated dentition is the most challenging task which is ever faced by prosthodontists. An occlusal rehabilitation, though it is common, is the most complex treatment procedure which is widely practised in treating severely worn out dentitions, developmental anomalies, acquired defects, ill fitting, long span fixed partial dentures and TMJ disorders. Various factors such as vertical dimension of occlusion, centric relation, occlusal contact pattern, aesthetics and phonetics need to be considered simultaneously for both anterior and posterior teeth during occlusal rehabilitations. Different schools of thoughts have been documented for rehabilitation of such cases and the choice of the treatment plan depends on the skill and experience of the clinician. This clinical report describes the full mouth rehabilitation of a severely worn out dentition, in functional harmony with the stomatognathic system. Hobo's Twin-stage procedure was adopted to produce a definite amount of disocclusion during eccentric movements.
Reader, Department of Prosthodontics, Kamineni Institute of Dental Sciences , Narketpally, Nalagonda, Andhra Pradesh, India .
Anulekha
A
Avinash Ck
Professor and HOD, Department of Prosthodontics, Kamineni Institute of Dental Sciences , Narketpally, Nalagonda, Andhra Pradesh, India .
Chittaranjan
C
B
Professor, Department of Prosthodontics, Kamineni Institute of Dental Sciences , Narketpally, Nalagonda, Andhra Pradesh, India .
Sudheer
S
Charry N
Professor, Department of Prosthodontics, Kamineni Institute of Dental Sciences , Narketpally, Nalagonda, Andhra Pradesh, India .
Ramu
R
Reddy
Senior Lecturer, Department of Prosthodontics, Kamineni Institute of Dental Sciences , Narketpally, Nalagonda, Andhra Pradesh, India .
Aditya Sai
AS
Jagini
Effective cusp angle; Hobo’s twin stage technique; Occlusal rehabilitation; Posterior teeth disocclusion