A Case Report of Prosthetic Treatment for Severe Attrition

Abstract

Patient: The patient was a 58-year-old man examined at our department with a chief complaint of mastication disorder and esthetic issues in the incisor region. Based on the test results, he was diagnosed as infraocclusion due to severe attrition and a loss of occlusal-supporting area.

Discussion: The maxillomandibular relationship was reset by using a removable occlusal splint based on an examination of mandibular movement and by revising the design of the final prosthesis considering the shape of the provisional restoration, resulting in a good prognosis.

Conclusion: In this case we succeeded in improving his chief complaint by selecting a reversible method for determining the position of the mandible in response to a significant change in mandibular position, integrating the condition of the provisional restoration into the final prosthesis, and performing functional assessments at each step.