A case report of occlusal restoration for secondary caries in bilateral maxillary canines by building of anterior guidance

Abstract

Patient: A 55-year-old male presented with a chief complaint of dental caries; 5+5 showed faulty dental restorations and secondary caries, and 3|3 had lost their ferrule due to subgingival caries. The ferrule was regained by orthodontic extrusion of 3|3, and the anterior guidance was reconstructed after evaluation with a provisional restoration.

Discussion: The masticatory function and esthetic appearance were restored through primary splinting and occlusal scheme examination using provisional restorations, which addressed the poor crown-root ratio caused by orthodontic extrusion, and appropriate anterior guidance was established.

Conclusion: Favorable outcomes were achieved by providing appropriate anterior guidance after preserving the bilateral maxillary canines with severe caries.