Full-mouth rehabilitation of a patient with excessive attrition: a case report

Abstract

Patient: A male in his seventies complained of masticatory disorders with an unfitted maxillary denture. His maxillary artificial teeth and residual mandibular teeth were severely worn down probably due to excessive occlusal force. Full-mouth rehabilitation was undertaken in this case, utilizing full cast crowns for mandibular molars and composite resin artificial teeth for maxillary complete dentures, respectively.

Discussion: By utilizing dental materials having different wear resistance between mandibular and maxillary teeth, tooth wear was intentionally permitted. As a result, the severe occlusal force could be distributed, thus protecting the residual teeth and alveolar ridge from damage.

Conclusion: This case report describes the favorable clinical outcome of a patient whose excessive occlusal force was distributed by intentional wearing of artificial teeth of complete dentures.