A case report of occlusal reconstruction for dental masticatory and esthetic dysfunction due to teeth attrition

Abstract

Patient: A 59-year-old male patient complained of an unstable denture, masticatory dysfunction, and poor esthetics. Based on the clinical findings, the instability of the denture and esthetic disturbance of the lower anterior teeth were attributed to reduction of the occlusal vertical dimension caused by attrition of the teeth. Therefore, a fixed partial denture was chosen for the maxillary anterior teeth in order to reduce the overload on the upper-right second molar and retain the anterior guidance and physiological occlusion after bite-raising. Finally, the patient’s complaints improved after full mouth reconstruction.

Discussion: The patient’s satisfaction was improved by fabricating a fixed partial denture for the maxilla, instead of a removable partial denture that gave rise to denture fracture and instability.

Conclusion: It is suggested that long-term stability of the prosthesis was obtained by correctly diagnosing tooth attrition and providing treatment with better prognosis.