Bruxism patients

Management of worn dentition using fixed or removable prostheses is complex and among the most difficult cases to restore. Evaluation of vertical dimension is important for the management, and comprehensive treatment plan is required for all cases. Articulated casts and diagnostic wax-up provide a important information which and helpful for the evaluation of treatment options. Minimal changes to vertical dimension of occlusion is usually confirmed with the clinical evaluation of the patient using diagnostic splint or provisional prosthesis. Nevertheless, occlusal wear of prosthetic teeth is a normal process during the lifetime of a denture.  In this line, vertical dimension(VD) assessment should be conservative and with careful approach and it should not be changed. Particularly, increasing the VD for bruxism patients puts a severe overload on the teeth and it often results in the destruction of the restorations.