A case report of functional and esthetic recovery for severe attrition with a metal plate denture

Abstract

Patient: A 76-year-old male presented with the chief complaint of masticatory dysfunction due to instability with immediate dentures. The patient’s mandibular anterior teeth exhibited severe attrition. Because the interocclusal relation was deep bite, the mandibular anterior teeth impinged on the maxillary anterior gingiva.

Discussion: The vertical dimension was increased within the interocclusal rest space. An occlusal contact was fabricated by expanding the framework in the lingual cusp of the maxillary molar. This resulted in long-term, stable functional and esthetic recovery using a removable partial denture with static metal occlusal surface.

Conclusion: The metal plate denture was applied to this patient with severe attrition and maxillary anterior teeth missing. It is suggested that the prognosis of the prosthesis was improved by focusing on the secondary fixation and suppression of teeth attrition.