A case of improvement of mastication disorder by occlusal reconstruction

Abstract

Patient: The patient was a 70-year-old man who visited the clinic with a complaint of difficulty in chewing and sensitive pain of the maxillary anterior teeth. The patient was diagnosed as having masticatory disorder, reduced occlusal support and occlusal trauma due to missing molar teeth. The occlusal vertical dimension was restored and by modifying the patient’s dentures and a provisional restoration. The mandibular position was changed to the centric relation and occlusal reconstruction. Fixed prostheses and removable partial dentures were fabricated by referring to the initial prosthesis which was confirmed as having no functional abnormalities.

Discussion: Appropriate vertical occlusal height and mandibular position were attained by modifying the patient’s dentures and a provisional restoration. The masticatory disturbance was improved by crown restoration and fabrication of removable partial dentures.

Conclusion: In the present case, occlusal reconstruction resulted in good treatment results.