A case report of increased occlusal vertical dimension and occlusal reconstruction for a patient with ill-fitting prosthesis

Abstract

Patient: A 62-year-old woman visited our clinic complaining of swelling and occlusal pain at #5 (Universal system). The examination revealed a root fracture at #5 as well as multiple ill-fitting prosthesis throughout the mouth. Ill-fitting restorations were removed followed by the amelioration of occlusal vertical dimensions using provisional restoration. Final prosthesis after root canal and periodontal treatment was performed. Thereafter, she was satisfied with the treatment results.

Discussion: Improving periodontal tissue with crown lengthening and occlusal therapy using provisional restoration before placing final prostheses led to a good prognosis.

Conclusion: In order to keep the long-term stability of the treatment result, it is important to achieve periodontal tissue with high cleanability and control appropriate occlusion.