Case of prosthodontic treatment for loss of occlusal support in molar regions defect with severe resorption of alveolar bone

Abstract

PATIENT: The patient's chief complaint was difficulty of mastication in molar regions. The diagnosis was masticatory dysfunction caused by loss of occlusal contacts. Initially provisional restorations were fabricated, then disharmonious contours were corrected during the following treatments including endodontic and periodontic treatments and tooth extraction. Final restorations were made with fixed partial dentures. DISCUSSION: Preservation of the left incisor of mandible enabled recontouring the provisional restoration and consequently, determining a definitive occlusal scheme for the final restoration. CONCLUSION: For a patient with collapse of posterior occlusal contacts, hopeless teeth which should be extracted were used as temporary abutment for the provisional restoration. This treatment plan minimized trouble for the patient during treatment, resulting in successful final occlusal reconstruction.