A case of fixed prosthodontic treatment through tooth preservation with occlusal traumatic symptoms

Abstract

Patient: A 64-year-old female patient complained of masticatory dysfunction caused by mobility of a maxillary right fixed bridge. The maxillary right canine with occlusal traumatic symptoms had been diagnosed by her previous dentist as indicated for extraction, but it was fixed with a provisional bridge to determine whether the tooth could recover. After this traumatic tooth was allowed to recover, the fabricated fixed bridge was finally attached after a follow-up observation by temporary cementation.

Discussion: There are no clear criteria for tooth preservation of occlusal traumatic teeth depending on bone resorption or tooth mobility. Therefore, it is important to plan a step-by-step prosthodontic treatment in which the availability of abutment teeth is determined after the acute traumatic symptoms have resolved.

Conclusion: A careful and step-by-step prosthodontic treatment for an occlusal traumatic tooth resulted in tooth preservation, restoration of masticatory function, and improvement of patient satisfaction.