Combined Treatment of Severe Snooring and Excessive Tooth Wear Comorbidity

Objectives: Bruxism is a comorbid disorder. Patients complain of facial, ear and neck pain, headache and temporomandibular joint dysfunction. Bruxism results, teeth worn and the occlusion vertical dimension loss (OVDL) . In severe cases, snoring and sleep apnea develop. The aim of this study is treatment bruxism symptoms.
Methods: A 46-year-old patient came to Istanbul Aydin University Faculty of Dentistry, with complaints about function loss as a cause of tooth wearing. As a result of the anamnesis and clinical examination, it was determined that the complaints were caused by bruxism. Combined treatment was planned for bruxism, snoring and OVDL. Since the patient did not have any myofascial pain, prosthetic treatment was started for direct vertical dimensioning. OVDL degree was determined by the Niswonger method. All teeth were prepared and covered with metal-fused porcelain crowns. Occlusion vertical dimension (OVD) has been increased 5mm. After cementation of the restorations, stabilization splint was given to the patient to wear during sleep for 1 month.
At the end of the first month, monoblock mandibular advancement device (MAD) (Durasoft, SCHEU-DENTAL GmbH, Germany) was produced for snoring treatment. As a result of night recording made with SnoreLab application, observed that the snoring score decreased from 118 to 10. The treatment was completed by wearing stabilization splint for 6 hours during day and MAD during sleep.OVDL was treated with full mouth metal-fused porcelain crown restorations.
Results: At the first month control, observed that the snoring and functional complaints related to bruxism disappeared.
Conclusions: Bruxism is a comorbid disorder. As a result of wear; OVDL, snoring and sleep apnea occur. Improvement in all symptoms and reduction of severe snoring noise and increase OVD, which is reduced due to tooth wear, is controlled by this combined treatment. it is possible to manage all symptoms with airway prosthodontics and dental sleep dentistry.