PHILOSOPHIES RELATED TO FULL MOUTH REHABILITATION: A SYSTEMATIC REVIEW OF CLINICAL STUDIES
Abstract
The minimal and gradual wear of occlusal surfaces of teeth is a normal process during the lifetime of an individual. It can be due to congenital and developmental anomalies such as amelogenesis imperfecta and dentinogenesis imperfecta or can be acquired such as attrition, abrasion, and erosion.1 However, excessive loss of tooth material may result in
pulpal pathology, occlusal disharmony, impaired function, and aesthetic disfigurement and eventually mental distress. The management of tooth wear is becoming a subject of expanding enthusiasm in the prosthodontic field. This requires the full mouth rehabilitation which converts all the unfavourable forces on the teeth which inevitably induce
pathologic conditions, into favourable forces that permit normal function and therefore induce healthy conditions and restoring quality life. Turner and Missirlian (T&M) in 1984 classified occlusal wear into three categories.2 The rehabilitation of each category should be possible by any of the proposed philosophies of full mouth rehabilitation. These philosophies are Pankey Mann Schuyler (PMS), Hobo twin table and Hobo twin stage. However, all types of occlusal wear cannot be redressed by using any philosophy. PMS philosophy (1960) is based on the principles of the spherical theory of Monson and functionally generated path technique (FGPT) described by Meyer.3,4 It restores the anterior guidance first and then mandibular occlusion plane followed by maxillary occlusal plane. Hobo Twin table philosophy (1991) utilizes the two customized incisal guide tables, one with disocclusion and another without disocclusion.5,6 In this philosophy, posterior occlusion is rehabilitated first followed by the development of anterior guidance. Moreover, Hobo Twin Stage philosophy (1997) is based on the standard cusp angle which is used to build up the standard measure of disocclusion.7,8 A critical assessment of available literature on occlusal philosophies of full mouth rehabilitation requires an understanding of their historical development and proper The minimal and gradual wear of occlusal surfaces of teeth is a normal process during the lifetime of an individual. It can be due to congenital and developmental anomalies such as amelogenesis imperfecta and dentinogenesis imperfecta or can be acquired such as attrition, abrasion, and erosion.1 However, excessive loss of tooth material may result in
pulpal pathology, occlusal disharmony, impaired function, and aesthetic disfigurement and eventually mental distress. The management of tooth wear is becoming a subject of expanding enthusiasm in the prosthodontic field. This requires the full mouth rehabilitation which converts all the unfavourable forces on the teeth which inevitably induce
pathologic conditions, into favourable forces that permit normal function and therefore induce healthy conditions and restoring quality life. Turner and Missirlian (T&M) in 1984 classified occlusal wear into three categories.2 The rehabilitation of each category should be possible by any of the proposed philosophies of full mouth rehabilitation. These philosophies are Pankey Mann Schuyler (PMS), Hobo twin table and Hobo twin stage. However, all types of occlusal wear cannot be redressed by using any philosophy. PMS philosophy (1960) is based on the principles of the spherical theory of Monson and functionally generated path technique (FGPT) described by Meyer.3,4 It restores the anterior guidance first and then mandibular occlusion plane followed by maxillary occlusal plane. Hobo Twin table philosophy (1991) utilizes the two customized incisal guide tables, one with disocclusion and another without disocclusion.5,6 In this philosophy, posterior occlusion is rehabilitated first followed by the development of anterior guidance. Moreover, Hobo Twin Stage philosophy (1997) is based on the standard cusp angle which is used to build up the standard measure of disocclusion.7,8 A critical assessment of available literature on occlusal philosophies of full mouth rehabilitation requires an understanding of their historical development and proper The minimal and gradual wear of occlusal surfaces of teeth is a normal process during the lifetime of an individual. It can be due to congenital and developmental anomalies such as amelogenesis imperfecta and dentinogenesis imperfecta or can be acquired such as attrition, abrasion, and erosion.1 However, excessive loss of tooth material may result in
pulpal pathology, occlusal disharmony, impaired function, and aesthetic disfigurement and eventually mental distress. The management of tooth wear is becoming a subject of expanding enthusiasm in the prosthodontic field. This requires the full mouth rehabilitation which converts all the unfavourable forces on the teeth which inevitably induce
pathologic conditions, into favourable forces that permit normal function and therefore induce healthy conditions and restoring quality life. Turner and Missirlian (T&M) in 1984 classified occlusal wear into three categories.2 The rehabilitation of each category should be possible by any of the proposed philosophies of full mouth rehabilitation. These philosophies are Pankey Mann Schuyler (PMS), Hobo twin table and Hobo twin stage. However, all types of occlusal wear cannot be redressed by using any philosophy. PMS philosophy (1960) is based on the principles of the spherical theory of Monson and functionally generated path technique (FGPT) described by Meyer.3,4 It restores the anterior guidance first and then mandibular occlusion plane followed by maxillary occlusal plane. Hobo Twin table philosophy (1991) utilizes the two customized incisal guide tables, one with disocclusion and another without disocclusion.5,6 In this philosophy, posterior occlusion is rehabilitated first followed by the development of anterior guidance. Moreover, Hobo Twin Stage philosophy (1997) is based on the standard cusp angle which is used to build up the standard measure of disocclusion.7,8 A critical assessment of available literature on occlusal philosophies of full mouth rehabilitation requires an understanding of their historical development and proper The minimal and gradual wear of occlusal surfaces of teeth is a normal process during the lifetime of an individual. It can be due to congenital and developmental anomalies such as amelogenesis imperfecta and dentinogenesis imperfecta or can be acquired such as attrition, abrasion, and erosion.1 However, excessive loss of tooth material may result in
pulpal pathology, occlusal disharmony, impaired function, and aesthetic disfigurement and eventually mental distress. The management of tooth wear is becoming a subject of expanding enthusiasm in the prosthodontic field. This requires the full mouth rehabilitation which converts all the unfavourable forces on the teeth which inevitably induce
pathologic conditions, into favourable forces that permit normal function and therefore induce healthy conditions and restoring quality life. Turner and Missirlian (T&M) in 1984 classified occlusal wear into three categories.2 The rehabilitation of each category should be possible by any of the proposed philosophies of full mouth rehabilitation. These philosophies are Pankey Mann Schuyler (PMS), Hobo twin table and Hobo twin stage. However, all types of occlusal wear cannot be redressed by using any philosophy. PMS philosophy (1960) is based on the principles of the spherical theory of Monson and functionally generated path technique (FGPT) described by Meyer.3,4 It restores the anterior guidance first and then mandibular occlusion plane followed by maxillary occlusal plane. Hobo Twin table philosophy (1991) utilizes the two customized incisal guide tables, one with disocclusion and another without disocclusion.5,6 In this philosophy, posterior occlusion is rehabilitated first followed by the development of anterior guidance. Moreover, Hobo Twin Stage philosophy (1997) is based on the standard cusp angle which is used to build up the standard measure of disocclusion.7,8 A critical assessment of available literature on occlusal philosophies of full mouth rehabilitation requires an understanding of their historical development and proper application. Occlusion plays a key role in establishing the synchronous harmony between components of the stomatognathic system. Henceforth, the selection of legitimate philosophy is the most important step in the prosthetic rehabilitation of a patient with mutilated dentition. The primary objective of this systematic review is to critically analyse the existing literature, including original articles and case reports of philosophies of full mouth rehabilitation, which will help in selecting an appropriate philosophy for an individual case. The secondary objective is to survey the occurrence rate of the category of T&M classification.
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