Rehabilitation of Anterior Guidance and Function in Compromised Geriatric Patients with Severe Attrition and Tooth Loss-A Multidisciplinary Approach

Transformation from a dentulous to an edentulous state brings many cumbersome and adverse situations to the patients. While rehabilitation with dentures prosthesis most of the patients present great difficulties in the form of acceptance and adaptation. Restoration of remaining teeth and dentition are primary challenge for restorative dentists. Full mouth rehabilitation is an extensive and intensive procedure in which the occlusal plane is modified to accomplish equilibration. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in loss of normal occlusal plane, reduction of vertical dimension and gradually loss of face height. This article focuses on the phase by phase management of esthetically and functionally compromised geriatric patient with combined approach of fixed and removable prosthesis.