Complete Occlusal Rehabilitation of a Grossly Decayed Natural Dentition Using Multiple Prosthodontic Options

Abstract

Complete occlusal rehabilitation involves multiple disciplines and specialties of dentistry. Within Prosthodontics it requires meticulous planning of correcting existing occlusal problems and finding new biologically acceptable occlusal parameters which include centric occlusion, occlusal plane, aesthetic position of anterior teeth and vertical dimensions. Very less occlusal rehabilitations will be considered complete if the above parameters are not biocompatible with temporomandibular joint function. This case report of a 43-year-old housewife who presented with a chief complaint of grossly decayed natural teeth is one such case where the above parameters were all corrected. While extra oral parameters were within normal limits, intra oral dental condition was corrected by a series of extraction of teeth, endodontic (intentional and conventional), surgical crown lengthening and multiple prefabricated and cast post cores. The anterior guidance was established and corrected on the temporary restorations which was then transferred to the definitive restoration. Foundation restorations were built using multiple prefabricated fiber posts and custom made cast posts. Final restorations that included single crowns and multiple fixed partial denture were fabricated of metal ceramic. A cast partial denture was also part of the overall occlusal rehabilitation. At subsequent follow up, the patient was extremely satisfied with the outcome of the treatment.