A case report of rehabilitation using an overdenture for a patient with non-vertical stop occlusion, considering systemic disease

Abstract

Patient: The patient was a 76-year-old male whose main complaint was an ill-fitting immediate denture. He exhibited a non-vertical stop occlusion and had a systemic disease causing a tendency to bleed. Teeth that were difficult to extract were preserved with copings. The maxilla was rehabilitated with a full denture-supported overdenture, while the mandible was treated with a partial denture-supported overdenture. After fitting the dentures, the patient’s masticatory function improved, and a favorable long-term prognosis was achieved.

Discussion: Considering the patient’s systemic condition, we provided only support functions for coping with the condition and performed appropriate occlusal adjustments, which minimized the risk of denture subsidence or rotation. As a result, we were able to achieve favorable outcomes.

Conclusion: Due to a bleeding tendency caused by systemic conditions, invasive interventions were avoided. Functional recovery was achieved using an overdenture with copings that provided only support functions, resulting in a favorable clinical course.