A case of a patient with a few missing teeth ——from basic periodontal treatment to full mouth reconstruction

Abstract

This is a case of a patient (age 58) with Angle class II malocclusion, involving loss of a few teeth and anterior guidance, but the patient initially requested only a partial treatment. I could, however, gradually obtain the patientʼs trust as I was set to the patient over the course of basic periodontal therapy. As a result, I was able to shift to full mouth treatment based on the full mouth examination and diagnosis. Replacing the molar part with a temporary crown, I corrected the occlusal vertical dimension and the occlusal plane and searched for a stable mandibular position. In addition, occlusal support was obtained up to the second molar by implant treatment replacing the defect. The anterior guidance was obtained by partial correction of the prostheses of the maxillary anterior teeth and limited orthodontic treatment of the mandibular anterior teeth. By creating provisional restorations from the diagnostic wax-up and replacing them with the final prostheses, stable occlusion was obtained.