Rehabilitation of Lost Vertical Dimension Using Pankey Mann Schuyler Concept

Abstract

It is common practise to increase the occlusal vertical dimension in order to gain sufficient restoration space in the management of severely worn dentition. This contentious belief has sparked debate about its effects on the Odonto-stomatognathic system. There are basic uncertainties and existing incorrect beliefs about the perception of increasing the occlusal vertical dimension. Because of widely divergent views on the selection of an appropriate occlusal scheme for successful full mouth rehabilitation, reconstructing debilitated dentition is fraught with anxiety. For occlusal rehabilitation, there are several philosophies to follow, the most prominent of which being Hobo's philosophy and Pankey Mann Schuyler's philosophy. For full mouth rehabilitation cases, the Pankey Mann Schuyler concept provides a simple, systematic approach to follow. This article discusses a complete mouth occlusal rehabilitation case of a 38-year-old male patient who complained of pain in his left TMJ region and had considerable attrition on oral examination. The therapy was based on the Pankey Mann Schuyler concept, including an occlusal analysis using the Broadrick flag.