Case report on occlusal reconstruction for partially edentulous arches for restoring teeth in bad condition

Abstract

PATIENT: A 45-year-old female presented with the chief complaint of masticatory disturbance and spontaneous pain at the mandibular left second molar. Her maxillary left first and second molars, and mandibular right first and second molars were missing and the edentulous arches had been left untreated for a long period. DISCUSSION: In this patient who lacked occlusal support, occlusal reconstruction was done using a temporary prosthesis. Prosthodontic treatment with minimum tooth extraction required several years. Taking aesthetics into consideration, the maxillary right lateral incisor was used as a support for a removable partial denture. The small perforation was sealed successfully with an adhesive resin (4-META/MMA-TBB resin) in order to restore the mandibular left first molar. CONCLUSION: The occlusal reconstruction for partially edentulous arches without occlusal support took several years. Informed consent and cooperation between patient and dentist were indispensable for the satisfactory results in this case.