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Updated: Jun 27, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
[A case of occlusal reconstruction with implant-supported prosthesis for mandibular bilateral free-end space]
1Nishi-Kanto Branch (Tsurumi Dental Clinic). atsushi-nakajima@bird.ocn.ne.jp
Patient:
A 62-year-old male patient visited our clinic with a chief complaint of chewing difficulty due to pain of the left lower molar. To relieve the pain, the second premolar with root fracture was extracted. Implant-supported fixed prostheses were selected for bilateral free-end space. Full-arch provisional restorations were used with monitoring the balance of occlusal force. Final prostheses were converted in May 2002.
Discussion:
It was suggested that the careful monitoring of occlusal balance by means of provisional restoration was one of the important factors for successful occlusal reconstruction.
Conclusion:
Even for patients with a history of Para function or tooth fracture, dental implant treatment of bilateral free-end space was indicated feasible for recovery of occlusal support and protection of remaining teeth on condition that the prostheses were very carefully designed.
