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Résumé

Des nombreux cas d’abrasion dentaire généralisée s’accompagnent de phénomènes compensatoires qui s’installent de manière silencieuse. En effet, le mouvement d’égression alvéolo-dentaire passive continue entraîne une conservation de la Dimension Verticale d’Occlusion (DVO) mais un espace prothétique disponible réduit. Ces cas sont difficiles à traiter en raison du manque d’espace pour loger le matériel restaurateur et la prothèse amovible en cas d’édentement associé.
Dans ce travail, nous détaillerons la démarche diagnostique de l’abrasion dentaire généralisée compensée ainsi qu’une méthode de prise en charge par augmentation du DVO en se basant sur un cas clinique traité au sein du service de prothèses partielles amovibles à la clinique de médecine dentaire de Monastir.

Abstract
Management of compensated abrasion by increasing the vertical dimension of occlusion: a case report

Many cases of generalized dental abrasion are accompanied by compensatory phenomena that take hold in a silent way. Indeed, the movement of continuous passive alveolar-dental egression leads to a conservation of the Vertical Dimension of Occlusion (VDO) but a reduced available prosthetic space. These cases are difficult to treat because of the lack of systematic space to accommodate the restorative material and the removable prosthesis in case of associated edentulism.
In this work, we will detail the diagnostic approach of compensated generalized dental abrasion as well as a method of management by increasing the VDO based on a clinical case treated in the department of removable partial dentures of Monastir.