A case report of full mouth reconstruction under the limitation of treatment for occlusal collapse

Abstract

This is a case report of occlusal reconstruction for a patient with occlusal collapse due to multiple carious teeth. The 43-year-old male patient presented to the clinic with a request for comprehensive treatment. The examination revealed remaining roots in the maxillary premolars and mandibular left molars, loss of occlusal support in the left posterior region and loss of proper anterior guidance in the premolars, and the occlusal plane discrepancy. Based on the diagnostic examination, autogenous tooth grafting was performed on the left mandibular molar along with prosthetic treatment using a bridge in order to establish occlusal support. The maxillary anterior teeth showed loss of biologic width due to subgingival caries, so crown lengthening was performed after provisional restoration, and after re-evaluation of periodontal tissue and occlusal stability, the patient final prostheses were set. Despite the limited treatment options, we were able to provide a treatment with a stable prognosis. However, due to the high risk of dental caries and the status of the grafted tooth, careful follow-up care is necessary.