A Case Report of Tooth Extraction Avoidance by Recovery of Occlusal Support and Effect of Primary Splint

Abstract

Patient: A 49-year-old female was referred to us regarding esthetic dissatisfaction with the upper front teeth. The problem was a mastication difficulty resulting from missing bilateral molar teeth in the mandible and occlusal damage of the front teeth caused by a loss of occlusal support. The recovery of occlusal support by temporary prosthesis and anterior guidance was then reconstructed.
Discussion: The esthetic dissatisfaction was resolved using the bridge, and the periodontitis improved as a result of maintaining occlusal support. Treatment based on a problem-oriented system can provide esthetic and functional improvements and is useful to obtain a satisfactory prognosis.
Conclusion: After the establishment of occlusal support, utilizing provisional restoration to search an anterior guidance seemed to be one of the techniques available for a case of restruction including anterior guidance.