A case of occlusal reconstruction with bite raising for an infra-occlusion patient

Abstract

Patient: The patient was a 72-year-old man with the chief complaint of spontaneous pain of gingiva in the anterior mandible. As severe infra-occlusion caused by missing teeth in the posterior region of the mandible and teeth attrition was observed, bite raising was performed by using a removable partial denture after the initial periodontic treatment and endodontic treatment. The provisional restoration was adjusted at the mandibular position with the increase of occlusal vertical dimension, and then the final prosthesis, which reproduced the form of the provisional restoration, was fabricated.

Discussion: The use of a provisional restoration and treatment denture made it possible to reflect the appropriate mandibular position and anterior guidance in the final prosthesis.

Conclusion: It is suggested that masticatory function and esthetics were improved by the prosthetic treatment with an appropriate occlusal vertical dimension and anterior guidance by bite raising for the patient with infra-occlusion.