Abstract
Patient: The case was a 56-year-old female patient with decreased occlusal vertical dimension. The patient showed tenderness of her bilateral masseter and temporal muscles. Her mandibular position and occlusal contacts were corrected using removable partial dentures (RPD) for the maxilla and an occlusal splint combined with RPD for the mandible. The mandibular position was stabilized, and the symptoms of temporomandibular disorders (TMD) disappeared. After observation for four months, final prostheses were fabricated.
Discussion: The patient was followed for four years after the treatment. Although minor fractures were observed in some prostheses, the patient was highly satisfied with the prostheses and had no symptoms of TMD.
Conclusion: The corrections of mandibular position and occlusal contacts with a sequence of prosthodontics including the insertion of RPD and occlusal splint were effective for this case with decreased occlusal vertical dimension accompanied by TMD.
