Mastering occlusal reconstruction

– Deciphering dental malocclusion, Periodontal disease, and multiple tooth loss –

Abstract

Many patients have problems with their occlusion, regardless of whether or not they have clinical symptoms. In order to obtain and perpetuate a good oral environment for such patients, it is necessary to correct inappropriate occlusal relationships and harmonize the temporomandibular system (temporomandibular joint, perioral muscles, teeth, and periodontal tissues). This paper classifies patient conditions into three categories: “ malpositioned teeth,” “periodontal disease,” and “multiple teeth missing”, and presents case examples to illustrate the key points of treatment for each. Orthodontic treatment is effective in eliminating “malpositioned teeth,” and appropriate sprinting is effective in cases of advanced periodontal disease. The use of implants is effective and also simplifies the treatment of occlusal reconstruction in “missing multiple teeth” cases.