A case report of esthetic and occlusal rehabilitation for restoring anterior guidance with a fixed prosthesis

Abstract

Patient: A 40-year-old female presented with the chief complaint of jaw pain and difficulty in chewing. Upon examination, she was diagnosed with myofascial pain, masticatory and esthetic disturbances, and occlusal trauma of the molars. After undergoing occlusal splint therapy to treat the symptoms of masticatory muscle pain, the occlusal support of the molar was restored with autogenous tooth transplantation, and the anterior guidance was reconstructed using an all-ceramic bridge.

Discussion: The establishment of occlusal support through autologous tooth transplantation and appropriate anterior guidance proved effective for the long-term outcome of oral function.

Conclusion: Prosthetic treatment to establish occlusal support in molars and reconstruct appropriate anterior guidance resulted in good long-term oral function.