A case report of occlusal reconstruction for mandibular malposition with severe chronic periodontitis

Abstract

Patient: A 41-year-old male patient visited our hospital complaining of difficulty in mastication due to pain of the maxillary left premolar teeth. Due to severe chronic periodontitis, remaining teeth mobility, decrease of vertical dimension of occlusion and mandibular malposition were observed. After treatment for severe periodontitis and correction of the mandibular position including bite elevation, occlusal reconstruction with a crown and bridge prosthesis and partial dentures was performed.

Discussion: The ability to diagnose mandibular malposition through X-ray examination and careful observation of the opening and closing of the mouth led to the correction of mandibular position using the occlusal appliance, which is thought to have had a significant therapeutic effect.

Conclusion: For patients with mandibular malposition, it was shown that thorough examination of sufficient mouth opening and closing movements contributes to proper prosthetic fitting and good prognosis.