2022 Volume 14 Issue 3 Pages 305-308
Patient: A 54-year-old woman visited our clinic with the chief complaint of masticatory disturbance due to mobility and pain of the maxillary anterior teeth. Decreased occlusal support area of molars, irregular occlusal plane, and restriction of mandibular movement were found. An objective evaluation of mandibular movement was performed using the Gothic arch tracing method at each stage of treatment. After improvement of mandibular movement was obtained, occlusal reconstruction was performed, including a maxillary cross-arch bridge, reflecting information on the provisional restoration.
Discussion: It is considered that the improvement of mandibular movement and the stability of the intercuspal position led to long-term stability of the final prosthesis. At the time of occlusal reconstruction, not only a subjective evaluation by the doctor and the patient but also an objective evaluation of mandibular movement is important.
Conclusion: The Gothic arch tracing method was effective for objectively evaluating mandibular movement during occlusal reconstruction.
