Ditermination of Stable Mandibular Position in the Partially Edentulous Mouth

Abstract

Multidisciplinary approach and treatment is essential when the partially edentulous mouth is restored. It is not enough to treat the edentulous regions, but is necessary to concern general and psychological etiologuies so that successful treatment is accomplished. It should not be overlooked that mental stress accumulation and the following oral disharmony have been caused unconciously during the collapse process of the mouth.
Temporomandibular joint and muscle dysfunctions develop gradually in most cases, and the patients'corplain chronic symptoms. Some patient do not even realize the existarce of the symptoms of temporomandibular dysfunctions until severe pain or evident mandibular function appears. The early inspection and diagnosis are appreciated so that preventive means and treatment are performed.
The treatment of the mutilated mouth condition has to be made on the basis of the stable normal mandibuar position. Furthermore, the prosthesis has to maintain oral health and harmonize with periodontium, muscles, temporomandibular joints, soft tissue and other oral tissues. In this article, the author discribed the procedures for oral (occlusal) reconstruction applied for the partially edentulous mouth. The patient had lost the original vertical dimension and the dentitions showed abnormal occlusal relations. The position of the mandible was unstable. The treatment was successfully accomplished and the mandibular position is now stable. The diagnosis, treatment planning and the treatment procedures were discussed and suggested by the members of Sendai Rinsho Shigaku Kenshukai.