Bariatric surgery is one of the most widely performed procedures in the world today, but it has several disadvantages, including perimolysis or dental erosion by gastric acids from regurgitation, vomiting and gastroesophageal reflux potentiated by citrus and acidic foods. Perimolysis or chemical dental erosion triggers the wear of dental elements both in depth and in dimension making small, irregular teeth, vertical loss of enamel, loss of occlusal contact, irregular cusps and vertical dimension of occlusion diminished. The diminished vertical dimension affects the aesthetics, the stomatognathic system triggering a series of damages that affect the quality of life of the patient. There are no studies that address the treatment of the vertical dimension of occlusion diminished by perimólise in bariatric patients evidencing the necessity of further studies. This study aims to describe the correction and management of the vertical dimension of decreased occlusion in bariatric patients. It can be concluded that many professionals opt mainly for the use of removable partial overlays and prosthesis for the recovery of the vertical dimension of diminished occlusion, since it is a financially accessible treatment, of greater ease of execution, faster and indicated for the recovery of the vertical dimension of occlusion and realignment of the occlusal plane. However the removable partial dentures is functional and yet aesthetic and aesthetics is a prime requirement today and highly requested. The restorative treatment in porcelain crowns on supported implant, porcelain onlays and porcelain facets besides restoring the functional part, the DVO present a superior aesthetic quality. The vertical dimension of diminished occlusion in bariatric patients is complex and difficult to correct because it is triggered by extensive dental erosion caused by vomiting, regurgitation and gastroesophageal reflux affecting all dental elements by wearing them both in depth and in extension. Functional aesthetic restorations are ideas for restoring the vertical dimension of occlusion. Porcelain crowns can be used on the implant to correct the vertical dimension of occlusion and restore posterior occlusion and porcelain veneers in the remaining teeth covering all the faces up to the supra gingival margin to ensure that the dental element will not have contact with the acids gastric The management of this treatment consists of a quarterly visit to the dentist for preventive care to maintain the functionality, esthetics and longevity of the restorations and the vertical dimension of occlusion.

Login to Download PDF

Please login with your Paper ID and password to access the full PDF.

🔑 Login to Download