A case of occlusal reconstruction without bite raising for a patient with loss of occlusal support

Abstract

In the case of a full mouth restoration, if there is no apparent reduction in the vertical dimension, opportune bite raising upon crown restoration should be kept to minimum. How ever, whether to preserve vertical dimension or to raise the bite can be a delicate question when the clinical crown length is not sufficient. This report is to present a case of occlusal reconstruction for a 58-year-old female patient with little posterior occlusal support. The initial plan was to restore the function of the molar with full-mouth restoration. After careful consideration on the pros and cons of bite raising by diagnostic wax-up, a full mouth restoration was performed while preserving the vertical dimension despite the short crown length. As a result, minimally invasive full-mouth restoration was achieved while preserving tooth structure and pulp.