Restoring the Lost Functional Harmony in A Mutilated Dentition using Hobo’s Twin Stage Concept of Full Mouth Rehabilitation

Abstract

Reorganization of an occlusion in a mutilated dentition is the most challenging task which is ever faced by prosthodontists. An occlusal rehabilitation, though it is common, is the most complex treatment procedure which is widely practised in treating severely worn out dentitions, developmental anomalies, acquired defects, ill fitting, long span fixed partial dentures and TMJ disorders. Various factors such as vertical dimension of occlusion, centric relation, occlusal contact pattern, aesthetics and phonetics need to be considered simultaneously for both anterior and posterior teeth during occlusal rehabilitations. Different schools of thoughts have been documented for rehabilitation of such cases and the choice of the treatment plan depends on the skill and experience of the clinician. This clinical report describes the full mouth rehabilitation of a severely worn out dentition, in functional harmony with the stomatognathic system. Hobo’s Twin-stage procedure was adopted to produce a definite amount of disocclusion during eccentric movements.

Keywords

• occlusal rehabilitation
• hobo’s twin stage technique
• posterior teeth disocclusion
• effective cusp angle