FULL MOUTH REHABILITATION OF TURNER AND MISSIRLIAN CATEGORY I-WORN-OUT DENTITION - A CASE REPORT WITH SURGICAL, FUNCTIONAL AND ESTHETIC SUCCESS

Severely worn-out dentition presents significant functional, aesthetic, and structural challenges, often impairing mastication, speech, and overall quality of life of the individual. This case report describes the full-mouth rehabilitation of a 58-year-old male patient diagnosed with Turner and Missirlian Category I wear, characterized by generalized attrition, loss of posterior support, and reduced vertical dimension of occlusion (VDO). A comprehensive treatment approach was adopted, integrating endodontic, periodontal, and prosthodontic interventions to restore function, stability, and aesthetics. The treatment plan involved a multidisciplinary approach, beginning with post and core restorations to reinforce structurally compromised teeth. Full-mouth surgical crown lengthening was performed to enhance retention for full-coverage crowns and optimize occlusal function. Prosthetic rehabilitation included fixed porcelain-fused-to-metal crowns supported by root canal-treated teeth and cast partial denture for posterior edentulous areas. The VDO was re-established using provisional restorations, ensuring patient adaptation before the final prosthesis placement. The patient was monitored over a one-year follow-up period, demonstrating improved function, aesthetics, and occlusal stability. This case highlights the importance of a systematic and evidence-based approach in managing severe tooth wear. By employing a structured treatment protocol, including gradual VDO increase, crown lengthening for improved retention, and the integration of fixed and removable prostheses, a predictable and long-term outcome was achieved. The rehabilitation successfully restored oral function and aesthetics while preserving remaining tooth structure, significantly enhancing the patient’s quality of lif