Rehabilitation of Severely Worn Dentition In Maxillary Arch With Fixed and Removable Prosthesis .

Abstract
    Rehabilitation of a patient with severely worn dentition after restoring the vertical dimension is a complex  procedure  and assessment of the vertical dimension is an important aspect in these cases. It requires the prostho dontist's expertise in preserving the integrity of the oral structures.  This case report describes a  65-year-old male, who  complained of difficulty in mastication and unpleasant appearance  due to  loss of maxillary posterior tooth  support , severe wear of dentition in maxillary anterior region, and the reduction of the  occlusal vertical dimension. Articulation of study casts and a diagnostic wax-up was done to  provide important information for the evaluation of treatment options. Alteration of the VDO should be conservative and should not be changed without careful consideration. As there was clinical evaluation of reduced VDO,  rehabilitation of maxillary arch at increased VDO  with fixed and removable prosthesis  according to the patient's choice of treatment plan
Keywords: Tooth wear, Vertical dimension of occlusion,