Oral Rehabilitation with Combined Prostheses of Partial Edentulism Associated with Tooth Wear and Loss of Vertical Occlusal Dimension: A Case Report

Emna Abid, Amel Labidi, sana Bekri, lamia mansour


The treatment of partial edentulism associated with severe tooth wear constitutes a real challenge for the dentist. The combined prosthesis remains a preferred solution to harmonize occlusion curves and restore oral functions. The use of attachments as a means of retention optimizes the aesthetic result and guarantees the psychological integration of the prosthesis. This therapeutic approach requires knowledge and skills on the part of the dentist and the prosthetist as well as a rigorous prosthetic study.

This article presents the treatment steps with combined prostheses in a bruxer patient with generalized dental wear.


Occlusal vertical dimension;tooth wear; combined prosthesis; denture Precision Attachment;millings

Full Text:



Song MY, Park JM, Park EJ. Full mouth rehabilitation of the patient with severely worn dentition: a case report. J Adv Prosthodont. 2010;2(3):106-10.

D’Incau E., Saulue P. Understanding dental wear.J Dentofacial Anom Orthod. 2012;15(1):19.

Harpenau LA, Noble WH, Kao RT. Diagnosis and management of dental wear. J Calif Dent Assoc. 2011;39(4):225-31.

Al-Omiri MK, Lamey PJ, Clifford T. Impact of tooth wear on daily living. Int J Prosthodont. 2006 Nov-Dec;19(6):601-5.

Muts EJ, van Pelt H, Edelhoff D, Krejci I, Cune M. Tooth wear: a systematic review of treatment options. J Prosthet Dent. 2014;112(4):752-9.

Kamble VD.Rehabilitation of severely worn dentition and partial edentulism by fixed and removable prostheses: a clinical report.Int J Prosthodont Restor Dent 2013;3(2):57-61.

Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent. 1984;52(4):467-74.

Van't Spijker A, Kreulen CM, Creugers NH. Attrition, occlusion, (dys)function, and intervention: a systematic review. Clin Oral Implants Res. 2007;18 suppl 3:117–26.

Verrett RG. Analyzing the etiology of an extremely worn dentition. J Prosthodont. 2001;10:224–33.

Türp JC, Simonek M, Dagassan D. Bone apposition at the mandibular angles as a radiological sign of bruxism: a retrospective study. BMC Oral Health. 2021.18;21(1):537.

D’Incau E , Brocard D., Laluque J.F. Wear lesions and bruxism in adults. Second part. Rev Odont Stomat .2014 ; 43(3):308-324.

Vanheusden A. Conservative and rational prothetic treatment plan for patients affected with advanced tooth wear. Rev Odont Stomat.2014;43:251-268.

Orthlieb JD, Ehrmann E. Déterminants du choix de la Dimension Verticale d’Occlusion en prothèse fixée.Réalités Cliniques.2013 ;24(2) :133-138.

Danush Kumar R, B. Devi Parameswari, H Annapoorni. Rehabilitation of partially edentulous patient using Precision Attachment denture– A case report. IP Ann Prosthodont Restor Dent 2020;6(3):162-166.

Burns DR, Ward JE. Review of attachments for removable partial denture design: 1. Classification and selection. Int J Prosthodont. 1990;3(1):98–102.

Burns DR, Ward JE. A review of attachments for removable partial denture design: part 2. Treatment planning and attachment selection. Int J Prosthodont. 1990;3(2):169–74.

S T, Singh A, Rani P, Prakash J, Bs S, C SG. Prosthodontic Rehabilitation With Kennedy's Class I and Class II Using an Extended Precision Attachment: A Report of Two Cases. Cureus. 2023 Aug 18;15(8):e43723.

Gupta N, Bhasin A, Gupta P, Malhotra P. Combined prosthesis with extracoronal castable precision attachments. Case Rep Dent. 2013;2013:282617.

Romesh S , Himanshi Y, Aditi P. Combined prosthesis with precision attachment for distal extension kennedy class II arch: a case report. Indian J.Sci.Res. 2018;20(2): 126-128.

Angadi P.B., Aras M., William C., Nagaral S., 2012. Precision attachments: applications and limitations. Journal of evolution of medical and dental sciences, 1(6):1113-1121.

DOI: http://dx.doi.org/10.46466/idj.v46i2.286


  • There are currently no refbacks.


Copyright by Iraqi Dental Journal

ISSN (Print): 2307-4779 | ISSN (Online): 2411-9741