JOURNAL OF PROSTHETIC DENTISTRY THE

Vol. 100 No. 5      NOVEMBER - 2008

ISSN: 0022-3913      UBIC: 171

RESUMEN

This article presents a method for altering occlusal vertical dimension (OVD) to restore dentitions with limited restorative space due to loss of tooth structure. A provisional increase in OVD is achieved using predominately base metal onlays, which offer advantages over conventional techniques. The onlays are resistant to wear, may be bonded well to nonrestored and restored tooth surfaces with resin cements, and provide a fairly reversible method of increasing OVD. A patient situation is presented which demonstrates the use of provisional base metal onlays in complet mouth rehabilitation. (J Prosthet Dent 2008; 100:338-342)

SUMMARY

Many situations requiring complete mouth rehabilitation present with the challenge of a lack of restorative space. This may require an increase in occlusal vertical dimension to restore the dentition to an ideal form and function. Base metal onlays can be used predictably in these situations. Due to their hardness, they can be used as a durable long-term provisional restoration, which may be a useful treatment option in patients requiring an increase in the OVD. BM onlays allow for segmental treatment, providing patient comfort and financial flexibility along with ease of treatment. These onlays offer a fairly reversible, stable, and effective method of achieving functional occlusion in situations that require complete mouth rehabilitation.

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