Özet:

Dent clots are a disease characterized by the destruction of the hard tissues of the tooth except tooth clots. The underlying causes vary depending on the type of swelling and therefore the treatment option varies depending on it. In cases where the occular vertical size needs to be increased, chronic length extension, alveols are some of the surgical reposition of the bone, fixed prothetic treatments, thinning movable overlay prothes treatment options. In this case presentation, a patient needs to be upgraded to a vertical size, the new vertical size adaptation and permanent fixed protetic treatment with the use of acrylic temporary crowns are described. The 65-year-old male patient at the Faculty of Dentistry of the University of Atatürk applied to the Department of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry of the Faculty of Dentistry. In the patient's intraoral examination, it was found that the lower and upper teeth were exhausted up to half of the chron lengths, and that the teeth were revealed on the insizal edges. The patient's rest vertical size was determined using the Niswonger method, while the okluzal vertical size was measured in full closure. The freeway space will be 3 mm, so the teeth are prepared with the chamber-style step frez and the vertical size is gradually increased with the acrylic temporary crowns. After 5 weeks, a permanent measurement with additional silicone was taken and metal-backed porselen bridges were made after the patient was assured that no joint pain developed. In cases where the vertical size needs to be increased, it should not be immediately passed to permanent fixed protheses. First, in the long run, it should be monitored whether the new vertical dimension can be adjusted or not, and then the prothesis treatment should be completed in a vertical dimension where the patient is comfortable. As in our case, permanent fixed protetic therapy is one of the alternative therapy options by gradually increasing the vertical size with temporary crowns. Keywords: tooth wear is a disease characterized by the loss of hard tissues of the tooth except tooth caries.The underlying causes are also different according to the type of wear and therefore, the treatment options vary accordingly. In cases where the occlusal vertical dimension needs to be increased, some of the treatment options are extension of the crown length, surgical reposition of the alveolar bone, fixed prosthetic treatments, casting overlay prostheses. This case report presents a patient who needs to be increased in vertical dimension, using acrylic temporary crowns, adaptation to the new vertical dimension and treatment with permanent fixed restorations. A 65-year-old male patient referred to the department of the prostodontics at Atatürk University, faculty of dentistry with inadequate chewing function, complaints of aesthetic appearance and worn in his teeth. The intraoral examination of the patient, revealed that the upper and lower teeth were worn halfway through the crowns and the dentin was exposed on the incisal edges. The vertical dimension of the rest of the patient was determined using the Niswonger method, the oclusal vertical dimension was measured in the case of full closure. By adjusting the freeway space 3mm, teeth were prepared with chamfer style step burs and the vertical size was gradually increased with acrylic temporary crowns. At the end of 5 weeks, after making sure that the patient did not develop any joint pain, the patient's permanent measure was taken with additional silicone and metal supported porcelain bridges were made. Conclusion: In cases where the vertical dimension has to be increased, the permenant fixed prosthetic should not be immediately restored. First, in the long term, whether the adaptation to the new vertical dimension can be achieved or not, should be followed in the long term, and then the prosthetic treatment should be completed in a vertical dimension where the patient is comfortable. As in our case, permenant fixed prosthetic treatment by increasing the vertical dimension gradually with temporary crown is one of alternative treatment options. Keywords: tooth wear, vertical dimension, prosthetic treatment

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