Nihon Hotetsu Shika Gakkai Zasshi
Online ISSN : 1883-177X
Print ISSN : 0389-5386
ISSN-L : 0389-5386
Case Reports (Specialist)
A Case of Occlusal Reconstruction with Implant-supported Prosthesis for Mandibular Bilateral Free-end Space
Atsushi Nakajima
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2008 Volume 52 Issue 4 Pages 578-581


Patient: A 62-year-old male patient visited our clinic with a chief complaint of chewing difficulty due to pain of the left lower molar. To relieve the pain, the second premolar with root fracture was extracted. Implant-supported fixed prostheses were selected for bilateral free-end space. Full-arch provisional restorations were used with monitoring the balance of occlusal force. Final prostheses were converted in May 2002.
Discussion: It was suggested that the careful monitoring of occlusal balance by means of provisional restoration was one of the important factors for successful occlusal reconstruction.
Conclusion: Even for patients with a history of Para function or tooth fracture, dental implant treatment of bilateral free-end space was indicated feasible for recovery of occlusal support and protection of remaining teeth on condition that the prostheses were very carefully designed.

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© 2008 Japan Prosthodontic Society
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