Maxillary anterior prosthetic treatment concerning anterior guidance of a patient who lost stable holding contact
10.4047/jkap.2019.57.4.467
- Author:
Jong Hoon PARK
1
;
Jin Hyun CHO
Author Information
1. Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea. prosth95@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Occlusion;
Centric relation;
Anterior guidance;
Envelope of function
- MeSH:
Centric Relation;
Dentists;
Diagnosis;
Facial Muscles;
Humans;
Prostheses and Implants;
Tooth
- From:The Journal of Korean Academy of Prosthodontics
2019;57(4):467-474
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, many patients undergo anterior prosthetic treatment for esthetic reasons. In some patients complain about functional reasons such as inaccurate pronunciation and occlusal discomfort after the treatment. Anterior teeth are important esthetically but in the occlusal point of view, anterior guidance is the second most important factor in occlusion, next to centric relation. Failure to determine an appropriate anterior guidance might lead to posterior occlusal interference, which can highly affect the stability of the posterior teeth. Also, discomfort might occur if the customized interior guidance is not in harmony with the patient's envelope of function. The patient in this case complained of overall discomfort in the maxillary anterior area after prosthetic treatment. The expressed difficulty in pronunciation, unstable occlusion due to lack of stable holding contact and discomfort of the facial muscles. Maxillary anterior prostheses were refabricated through systematic diagnosis and treatment and thus, this case presents esthetical and functional satisfaction to both the patient and the dentist.
