A case report of occlusal reconstruction for dental masticatory dysfunction due to tooth attrition and missing maxillary molars

Abstract

Patient: A patient was a 65-year-old man who visited the hospital with the chief complaint of difficulty in eating. Bilateral maxillary molar defects and marked tooth attrition of the mandibular anterior and premolar region were observed. After preprosthetic treatment, the amount of vertical dimension increase, occlusion scheme, and occlusal plane were examined with a diagnostic wax-up to place an interim prosthesis. Then, occlusal reconstruction was performed with a fixed dental prosthesis and metal plate denture.

Discussion: It is considered that careful examination of the amount of vertical dimension increase with the interim prosthesis and reflecting the amount in the final prosthesis using the cross mount technique led to an increase in patient satisfaction and improvement in dental masticatory dysfunction.

Conclusion: Marked tooth attrition and teeth defects were treated by vertical dimension increase and occlusal reconstruction, which resulted in a good prognosis.