2019 Volume 39 Issue 1-2 Pages 35-44
The patient had not visited the dentist for about 15 years. The patient presented with a chief complaint of loss of posterior occlusion and wished to receive occlusal reconstruction. An intraoral observation found the stumps of molars no longer providing the occlusal support, causing underbite when the mouth is closed. Based on medical interviews, intraoral examinations, X-rays, and a questionnaire on ingestible foods, the patient was diagnosed with mastication disorder and cosmetic disturbance. Our treatment plan was to first stabilize the jaw position with the help of a treatment denture, and then move on to the preparation of a final prosthesis. Upon the patient's consent, we conducted the full-mouth rehabilitation involving a crown restoration and the use of magnetic attachments and mini-SG attachments. The cosmetic recovery was achieved after the full mouth rehabilitation, provision of occlusal support, and consequent improvement of false underbite. At the initial visit, the mastication score was 48.2. After the attachment of the final prosthesis, the score improved to nearly the double score, 94.6. With the recovery of masticatory and pronunciation functions, the treatment successfully contributed to the improvement of the patient's quality of life.
