Occlusal reconstruction for a patient with attrition

Abstract

This is a case report of occlusal reconstruction for a patient with attrition. Case Summary: The 75-year-old male with a chief complaint of pain due to the ill-fitting denture and worn anterior teeth. The patient had a removable partial denture in the missing maxillary left molar region and bridges in the other missing parts, but they did not fit and secondary caries were observed. In addition, half of the crowns of the upper and lower anterior teeth were worn away. Treatment plan and course: After performing bite raising with anterior mock-up and molar provisional restorations and confirming that there were no functional problems, implants were placed in the molar regions and occlusal reconstruction was performed. Discussion: When treatment involves drastic changes in the oral cavity, such as occlusal reconstruction in the elderly, it is an issue whether the patients themselves can adapt to such changes. In this case, we believe that the use of easily retractable intervention, namely, the intraoral mockup directly attached to the natural teeth in the anterior region without grinding, served well and led to minimization of the tooth material removal.