Abstract
Patient: The patient was a 47-year-old female who complained of difficulty of mastication and esthetic disturbance with molar defects and anterior teeth crowding. She underwent occlusal reconstruction with dental implant for right side maxillary and left side mandibular molar defects and orthodontic treatment for anterior teeth.
Discussion: Provisional metal superstructures for dental implants were effective to keep stable occlusion during orthodontic treatment and worked as the anchorage source for active treatment of anterior teeth crowding. The trouble free metal provisional restoration was also practical to adjust occlusal position before and after the orthodontic treatment.
Conclusion: The occlusal reconstruction with orthodontic treatment requires long tern treatment period. In such cases, reliable provisional metal restoration is the most suitable to obtain satisfactory outcome.