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Patient: The patient, a 55-year-old woman, complained of bleeding and pus discharge from the maxillary anterior gingiva. The patient was diagnosed as having severe generalized periodontitis with a defective prosthesis. Periodontal therapy and occlusal improvement using provisional prostheses were performed together. As the final prostheses, a cross-arch bridge in the maxilla and bridges in the mandible were placed. Thereafter, she has remained satisfied without the previous complaints. Discussions: Accurate transfer of the crown shape from the provisional prostheses to the final ones and subsequent maintenance accounted for the good prognosis. Conclusion: Appropriate periodontal and occlusal therapy for this periodontally compromised patient has led to a good course for more than 5 years since the final restoration.

A clinical case of occlusal reconstruction using a maxillary cross-arch bridge for a patient with severe periodontal disease