A Case Report: Full-mouth Rehabilitation for a Patient with Para-functional Temporo-mandibular Disorders

Abstract

Patient: A 67-year-old female patient presented with chief complaints of occlusal bite and esthetic appearance disorder due to a decrease in the vertical dimension of occlusion. The bite was diagnositically restored using an occlusal splint appliance. Provisional restorations were then placed and gradually adjusted to establish optimum treatment relationships of occlusal vertical dimension, periodontal health, and esthetic appearance. The final restorations were then completed for the maxillary and mandibular arches with metal-ceramic PFM crowns.
Discussion: The patient was satisfied with esthetic and functional results of the completed rehabilitation. However, a protective postrestoration occlusal splint and regular periodic reevaluation are required to reassess any continued nocturnal parafunction during sleep.
Conclusion: Prosthetic restorative stability requires diagnostic and evaluative stabilization of the temporomandibular joint, supporting tissues, and occlusion. A long-term provisional restoration helps to determine the ultimate potential of restorative stability in the temporomandibular joint and occlusion gained by reconstructive prosthetic treatment.