A Case of Partial Dentures: Improvement of Facial Appearance with Occlusal Plane Correction and Occlusal Vertical Dimension Restoration

Abstract

Patient: A 66-year-old woman was referred to our department because of pain in maxilla incisors and esthetic dissatisfaction of maxilla and mandible partial dentures. Residual root was fractured and the dentures had repaired repeatedly by supplement prosthesis. The anterior artificial teeth of maxilla had an abnormal appearance, and their alignment was deviated to the lingual side.
Discussion: Judging from extent of attrition and extrusion of residual teeth, and the facial appearance, diagnosis were infraclusion and irregularity in the occlusal plane. The occlusal vertical dimension and the facial appearance were restored using treatment dentures and provisional restoration. The final prosthesis, having occlusal support of residual teeth and an adequate occlusal vertical dimension determined from that of the treatment denture, was applied to the patient.
Conclusion: Two years and five months after the final prosthesis appliication, the patient underwent extraction of 7 due to its extrusion and distoversion. The patient has had a good satisfaction thereafter.