A case report of full-mouth reconstruction for a patient with worn teeth by a removable partial denture and fixed prosthesis

Abstract

Patient: A 72-year-old male patient visited our clinic with a chief complaint of masticatory disturbance and poor esthetics. Dysmasesis with infraocclusion caused by severe tooth-wear was found. The vertical dimension was evaluated by using a treatment denture. Root canal treatment and clinical crown-lengthening were performed for the upper anterior tooth and provisional restorations were delivered. After stable occlusion and gingival condition were achieved, the final prosthesis was delivered.

Discussion: In this case it was necessary to increase the vertical height to achieve appropriate anterior guidance and facial appearance. The key was evaluating the elevation of vertical height by applying a reversible treatment.

Conclusion: Stable masticatory function and esthetics could be obtained by determining the appropriate occlusal height with a treatment denture for this case with infraocclusion.