A Case of Occlusal Reconstruction that Enabled the Release of Temporomandibular Joint Noise and Masticatory Disturbance

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  • Abe Susumu
    Department of Oral Care and Clinical Education, The Tokushima University Hospital

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  • 咬合再構成により顎関節雑音を消失させ咀嚼障害が改善した症例

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Patient: A 60-year-old male complained of reciprocal clicking on the bilateral temporomandibularjoint (TMJ) and masticatory disturbance. A treatment denture was fabricated for the missing mandibular right molars. This denture was inserted to improve occlusal vertical dimension and for protrusive repositioning of the mandibular position. After improving the main complaint and a follow-up, we planned occlusal reconstruction with fixed prostheses and removal denture for the final prosthetic treatment.<br>Discussion: The provided occlusal reconstruction could release masticatory disturbance with temporomandibular joint disk displacement. In this case, a modification of the mandibular position with a prosthetic appliance was effective treatment.<br>Conclusion: Occlusal reconstruction and bite rising were applied to the patient with reciprocal clicking of the TMJ. Although he made satisfactory progress, long time follow-up with periodic and prosthodontic examination will be required in the future.

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