A case of fixed prosthodontic treatment through tooth preservation with occlusal traumatic symptoms

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  • Oshima Masamitsu
    Department of Stomatognathic Function and Occlusal Reconstruction, Institute of Biomedical Sciences, Clinical Dentistry, Tokushima University Graduate School

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  • 咬合性外傷による重度動揺歯に対して歯の保存を行い固定性補綴装置にて機能回復を行った症例
  • コウアイショウ ガイショウ ニ ヨル ジュウド ドウヨウシ ニ タイシテ ハ ノ ホゾン オ オコナイ コテイセイ ホテツ ソウチ ニテ キノウ カイフク オ オコナッタ ショウレイ

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<p>Patient: A 64-year-old female patient complained of masticatory dysfunction caused by mobility of a maxillary right fixed bridge. The maxillary right canine with occlusal traumatic symptoms had been diagnosed by her previous dentist as indicated for extraction, but it was fixed with a provisional bridge to determine whether the tooth could recover. After this traumatic tooth was allowed to recover, the fabricated fixed bridge was finally attached after a follow-up observation by temporary cementation.</p><p>Discussion: There are no clear criteria for tooth preservation of occlusal traumatic teeth depending on bone resorption or tooth mobility. Therefore, it is important to plan a step-by-step prosthodontic treatment in which the availability of abutment teeth is determined after the acute traumatic symptoms have resolved.</p><p>Conclusion: A careful and step-by-step prosthodontic treatment for an occlusal traumatic tooth resulted in tooth preservation, restoration of masticatory function, and improvement of patient satisfaction.</p>

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