Abstract 1: Contemporary morphofunctional oral rehabilitation in an adult patient with severe deep bite

This study presents a detailed morphofunctional oral rehabilitation case of a 58-year-old female patient suffering from a severe deep bite. The rehabilitation process was predicated on a physiological approach aimed at increasing the occlusal vertical dimension (OVD) through neuromuscular techniques. The patient reported various clinical complaints, including chronic headaches, facial asymmetry, and an aged appearance, in conjunction with functional challenges such as partial edentation, diminished vertical restorative space, and hypertrophy of the tongue. Notable clinical findings included aesthetic deficits characterized by facial muscle hypotonicity, pronounced chin and nasal features, and asymmetrical gingival margins. The patient demonstrated deep-bite malocclusion, significant occlusal plane canting, and compensatory tongue interposition during the swallowing process. The treatment employed an additive technique designed to enhance restorative vertical space without resorting to invasive measures. A neuromuscular rehabilitation protocol was implemented to ensure a balanced redistribution of functional loads, mitigating temporomandibular dysfunction and enhancing muscular tonicity. This comprehensive approach successfully restored facial contours, improved smile symmetry, and corrected the occlusal plane. Key therapeutic interventions addressed sinus pneumatization, ridge resorption, and gingival margin asymmetry, leading to optimal aesthetic and functional outcomes. This case underscores the paramount importance of individualized, minimally invasive approaches in addressing complex oral rehabilitation challenges. The integration of functional diagnostics with aesthetic planning facilitated a transformative restoration of the patient’s quality of life, alleviating chronic pain and significantly improving psychosocial well-being.

Learning Objectives :

To understand the significance of a physiological approach in increasing occlusal vertical dimension (OVD) for patients with severe deep bite malocclusion.

To explore the role of neuromuscular rehabilitation techniques in alleviating symptoms of temporomandibular dysfunction and enhancing muscle tonicity in complex oral rehabilitation cases.

To recognize the importance of individualized, minimally invasive strategies in addressing aesthetic and functional deficits in adult patients requiring oral rehabilitation.