A case of esthetic improvement by occlusal reconstruction in a patient with decreased occlusal vertical dimension due to tooth wear

Abstract

Patient: A 63-year-old man complained of poor esthetic morphology and esthetics of his anterior teeth. Reduction of the occlusal vertical dimension caused by severe tooth attrition was found. After full-arch provisional restorations were fabricated, occlusal and morphological adjustments were performed for approximately one year. The final prostheses that accurately reproduced the morphology of the provisional restorations were fabricated using computer-aided design (CAD).

Discussion: Reproduction of the morphology of the provisional restorations, which was established through long-term adjustments, in the final prostheses using CAD achieved functional prosthodontic treatment with improved quality of life.

Conclusion: The occlusal reconstruction for the patient with reduction of the occlusal vertical dimension due to severe attrition led to good esthetics and predictability.