Establishing the maxillary occlusal plane as a requisite for placement of an immediate implant-supported fixed prosthesis in the mandible: a case report

Tooth loss leads to a change in the vertical dimension of occlusion and occlusal pathologies, such as bruxism also lead to this frame. If for any reason only one of the dental arches is to be rehabilitated, it is essential for the non treated arch to have an adequate occlusal plane and compensation curves compatible with those of the prosthetic treatment of the arch to be rehabilitated. It is relatively common for patients to request rehabilitation of only one arch, although opposing arch needs to be treated as well. Reconstructing dental arches with severe attrition is a unique restorative challenge. Tooth grinding habits, such as bruxism, can seriously compromise mastication and esthetics, and a reduction in the vertical dimension of occlusion may alter the patient’s profile and initiate angular cheiliti with gradual alterations in the musculature.

A fixed or removable transitional restoration is suggested to validate the tolerance of an increase in the vertical dimension of occlusion and the occlusal plane, which can be used in the final restoration procedure.