Areej Zakary^{1, 2,}, Mona Al Homoud^{1, 2}, Aisha HA Hakami^{1, 2}, Atheer Alqumairi^{1, 2}

Complexity in occlusal rehabilitation lies primarily on establishing an occlusion that is in functional harmony with various components of stomatognathic complex. Patients primary objectives are aesthetic, if anterior teeth are involved and mastication, if posterior teeth are missing. The systematic and multidisciplinary approach is essential to achieve treatment goals, most of which are prosthetically driven. This article presents a case of a young Saudi female patient who reported with multiple root stumps, missing teeth and grossly decayed multiple posterior teeth. The patient was treated utilizing a combination of multiple fixed partial denture and a maxillary cast partial denture, with both arches having a Kennedy class 3 modification 1 partial edentulous situation. The pain as emergency was controlled with extraction of non restorable involved tooth and pulpal extirpation of a posterior tooth. All treatments were in multiple phases that ranged from surgical (extraction, crown lengthening, endodontic) to non surgical (oral prophylaxis, class I, II, IV restorations, post core crowns, fixed partial and cast partial denture) treatments. The patient was highly satisfied with the treatment outcome as expressed during subsequent followup.

full mouth rehabilitation, endodontic, crown lengthening, cast restoration, dowel, post space, attached gingiv