Patients: A 60-year-old male complained of aesthetic disturbance for detached facing crown of maxillary anterior teeth and dysmasesis. The patient was diagnosed as intraocclusion by analysis of occlusal vertical dimension. The occlusal vertical dimension was increased by provisional restoration and treatment denture. Finally, fi xed prostheses and a removable partial denture were inserted. Discussion: The vertical dimension decreased with loss of occlusal support and attrition of teeth were

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... idered to detach fixed dental prosthesis by increasing load of maxillary anterior teeth. Conclusion: In the present clinical case, aesthetic disturbance and dysmasesis were improved by changing to an appropriate occlusal vertical dimension and occlusal reconstruction.