THE JOURNAL OF THE ACADEMY OF CLINICAL DENTISTRY
Online ISSN : 1884-8230
Print ISSN : 1346-8111
ISSN-L : 1346-8111
clinical report
Aesthetic prosthetics based on gnathology
Hidehito Kobayashi
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JOURNAL FREE ACCESS

2014 Volume 34 Issue 1-2 Pages 65-75

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Abstract
Traditional dentistry provided restorative treatments for carious teeth, periodontal therapy for mild-moderate periodontal disease, periodontal prosthesis for severe periodontal disease, and dentures for missing teeth. Now the implant is added to the list of treatment options, and patients' demand for aesthetic outcomes have become more apparent—in short now patient's opinion weigh in selecting a treatment option more than ever. Whatever the treatment option the patient and dentist may end up choosing, stable occlusion remains important for the maintenance of oral health. In a case where occlusal reconstruction is necessary, stable centric occlusion, vertical stop, and anterior guidance along with resultant disclusion and anterior coupling continue to be the primary therapeutic targets regardless of a variety of treatment options. This report is to present a case of a patient with pathologically displaced mandibular due to a long-term chewing habit. The treatment arrived at an agreeable outcome as a result of prioritization of the occlusal treatment, continuous and careful adjustment of the mandibular position based on the principle of minimal intervention onto tooth structure, and remedy of compromised aesthetics, which was the patient's chief complaint.
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© 2014 THE ACADEMY OF CLINICAL DENTISTRY
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