Title: Occlusal management of mandibular defects: Clinical considerations and therapeutic strategies
Abstract:
Background: Mandibular defects represent a frequent and complex clinical challenge in contemporary restorative dentistry. They may result from multifactorial etiologies including attrition, abrasion, erosion, trauma, or parafunctional habits. If left untreated, mandibular defects can compromise occlusal stability, vertical dimension of occlusion, masticatory efficiency, and temporomandibular joint function.
Objectives: The aim of this presentation is to analyze the principles of occlusal management in patients presenting mandibular defects and to propose a structured clinical approach for diagnosis, treatment planning, and restorative rehabilitation.
Methods: A comprehensive occlusal assessment protocol is presented, combining clinical examination, occlusal analysis, diagnostic waxing, and digital planning tools. Particular emphasis is placed on the evaluation of occlusal vertical dimension, anterior guidance, and functional mandibular movements. Therapeutic options include minimally invasive restorative approaches, adhesive techniques, occlusal splint therapy, and full-mouth rehabilitation when indicated.
Results: Appropriate occlusal management of mandibular defects enables functional and esthetic rehabilitation while preserving the remaining tooth structure. Restoration of occlusal harmony contributes to long-term restorative success, improved patient comfort, and prevention of further structural deterioration.
Conclusion: The management of mandibular defects requires a precise understanding of occlusal dynamics and an individualized treatment strategy. Early diagnosis and controlled occlusal rehabilitation are essential to achieve predictable and sustainable clinical outcomes.
