A Systematic Approach to Altering Occlusal Vertical Dimension in a Patient With Functional and Esthetic Concerns

This case involves the successful treatment of a patient who experienced repeated restorative failures due to an undiagnosed occlusal problem. Multiple unsuccessful attempts had been made in the past to restore the patient's mandibular incisors with direct composites, and she had become increasingly frustrated with having missing and broken anterior teeth. After a thorough records review and clinical examination were performed, an occlusal issue was diagnosed. A Kois deprogrammer was used to confirm the occlusal problem and locate a therapeutic treatment position for transitional bonding prior to placement of the final restorations. This article underscores the significance of comprehensive diagnosis and treatment planning to effectively address functional and cosmetic concerns.