Metal Meets Function: Complete Denture with Metal Occlusal Surface – A Case Report

Abstract

ABSTRACT: Acrylic resin teeth are highly susceptible to accelerated occlusal degradation, a condition that may precipitate diminished masticatory efficacy, loss of vertical dimension of occlusion (VDO), prosthetic instability, and temporomandibular joint (TMJ) dysfunction. Numerous strategies have been proposed to mitigate this clinical challenge, including the integration of highly cross-linked acrylic teeth, the utilization of amalgam or metallic occlusal inserts, composite restorations, or the application of gold and metallic occlusal veneers. While various protocols for the fabrication of metallic occlusal surfaces are documented in the literature, these methodologies are frequently associated with prohibitive costs, extensive laboratory timelines, and complex, multi-stage procedures. Additionally, these conventional workflows often necessitate prolonged patient periods of prosthetic edentulism during the manufacturing phase. This article elucidates a streamlined, efficient, and economically viable technique for the construction of metallic occlusal surfaces on complete dentures, presenting a pragmatic alternative to traditional restorative methods

Key words: Metal occlusal surface, Porcelain teeth, Tooth wear, Prosthesis durability