A case of occlusal reconstruction with a cross arch bridge

Abstract

Patient: The patient was a 73-year-old male who complained of chewing difficulty. A decrease in occlusal support and the occlusal vertical dimension due to the progression of caries and periodontitis was observed. During the treatment period the maxillary right central incisor was fractured, and intentional adhesive replantation was performed. Occlusal reconstruction with increasing the vertical dimension was performed with provisional restorations and treatment denture, and then the final prosthetic procedures were performed.

Discussion: Prostheses with the establishment of bilateral molar support and anterior guidance reduced the risk of occlusal collapse.

Conclusion: In this case, occlusal reconstruction with increasing the vertical dimension by a cross arch bridge and removable partial denture (upper), connecting crowns and fixed partial denture (lower) was performed to recover mastication, resulting in favorable postoperative outcomes.