Correction of occlusal vertical dimension in an adolescent patient with compromised anterior prosthesis space

The success of functional and esthetic restorations in cases requiring full mouth rehabilitation is often dependent on our understanding of oral rehabilitation concepts. With every patient being special regarding their personality characteristics and expectations, our knowledge of comprehensive approaches and understanding of combination treatments using removable and fixed prosthodontics in the correct sequence of a procedure are needed to achieve optimal results. In this case report, a patient came with severe decay in the anterior teeth and early loss of posterior teeth in the maxilla and mandible, that caused limited restorative space. The patient's chief complaints were poor chewing function and appearance. To obtain sufficient prosthetic space and provide improved appearance, an interim removable partial denture was used to correct the occlusal vertical dimension (OVD) over a period of 1 month to evaluate the adaptation to the new OVD. After the adaptation period, the severely decayed multiple anterior teeth were rehabilitated with casts post and core using partly veneered metal porcelain crowns. To rehabilitate the loss of posterior teeth in maxilla and mandible and to maintain the new OVD, metal frame removable partial denture was used as a final restoration.