Rehabilitation of esthetics and masticatory functions via occlusal reconstruction in a patient with severe attrition

Abstract

Patient: A 64-year-old male presented with a chief complaint of masticatory dysfunction. After examinations, the patient was diagnosed with severe attrition of the mandibular anterior teeth and decreased occlusal vertical dimension. Prosthetic reconstruction of the occlusion was used as an objective criterion in this case. The occlusal vertical dimension was evaluated using provisional restorations and treatment dentures. Then the patient was treated with the final prosthetic restoration. A favorable prognosis was observed three years after the treatment.

Discussion: Improvements in masticatory disorder and esthetics were obtained following occlusal reconstruction.

Conclusion: Setting an objective criterion using cephalometric analysis may be useful for determining the occlusal vertical dimension.