A case report of functional and esthetic improvement for a patient with severe attrition

Abstract

Patient: The patient was a 67-year-old female, with the chief complaints of masticatory disturbance and esthetic dissatisfaction due to attrition. After examination, the patient was diagnosed with masticatory disturbance and esthetic dissatisfaction due to attrition.

Discussion: The patient had attrition and malocclusion due to wearing an ill-fitting mandibular removable prosthesis made of metal. A definitive prosthesis was provided by reproducing the mandibular position while maintaining repeatable centric occlusion with occlusal contacts only at the upper and lower right-side canines and first premolars. In this case, the stable occlusion obtained by the definitive prosthesis with no major changes in maxillomandibular relationship led to a stable prognosis.

Conclusion: Treatment by changing from a removable prosthesis to a fixed prosthesis with no major changes in maxillomandibular relationship for attrition and malocclusion improved masticatory disturbance and esthetic dissatisfaction.