Abstract
A 55 year-old male patient, whose wife was a maintenance patient at our clinic, presented with complaints of many cavities and pain in the anterior gingiva, partially moderate, initial periodontal inflammation and overbite. As part of risk assessment, a saliva test and a dietary survey were conducted; the score of streptococcus mutans and lactobacilli indicated high risks and a habit of frequent soft drink intake was confirmed. First, periodontal treatment and dietary instruction and lifestyle recommendations were made, and then caries treatment was conducted. As for the overbite, the patient refused orthodontic treatment, and instead the bite was raised through restorative treatments. During two years of caries and prosthetic treatment, the patient complained “jaws feeling tired”, so the prosthetic treatment was finished with the occlusal vertical dimension reversed to the original. In the following 7 year maintenance period soft drink restriction has been kept and though the pain in the anterior gingiva comes back when the patient is busy and tired, oral health has been maintained without any newly developing caries or periodontal disease.