Abstract
Case summary: A 72-year-old woman presented with 5-year-old pain and clicking in the temporomandibular joints of both jaws when opening and closing her mouth after losing her lower right molar and upper left molar. She also had esthetic problems due to severe attrition. Since attrition had caused a decrease in the vertical dimension, a fixed prosthetic device was fitted after occlusal reconstruction. Discussion: After centric relation was obtained, vertical and horizontal maxillo-mandibular relations were determined using a therapeutic denture and overlay provisional restoration. By using a provisional restoration to check function and esthetics, a high level of oral-related quality of life was achieved. Conclusion: By using an overlay provisional restoration and a therapeutic denture to appropriately determine the vertical dimension in response to its decrease, a high level of patient satisfaction was achieved.
