Bilateral Balanced Complete Denture from a Clinician’s Perspective: a case report

OBJECTIVES: Dentures with a bilaterally balanced occlusal scheme are recommended for improved denture stability, patient comfort, masticatory force distribution, and reduced residual ridge resorption. This article presents a case report on a systematic yet simple approach that covers all steps/ method from the inception to the delivery of bilaterally balanced complete dentures.

MATERIALS AND METHODS: It explains a detailed procedure for fabrication of a bilateral balanced denture, these include split cast fabrication, extraoral tracer attachment, gothic arch tracing, making of interocclusal records, programming of the articulator, steps for teeth arrangement, laboratory remounting procedures and assessment of the centric and eccentric contacts during denture insertion.

RESULTS AND DISCUSSION: In the literature, bilaterally balanced occlusal scheme fabricated dentures are advocated for better denture stability and patient comfort. There were, however, no elaborately explained clinical reports for the fabrication technique. This article presents a systematic yet straightforward approach, covering all steps necessary for the fabrication of balanced complete dentures.

CONCLUSIONS: Sequentially performing the steps/method outlined in this clinical report will assist clinicians in achieving a more accurate prosthetic outcome. The patient was extremely satisfied with the function, fit and esthetics of the dentures. The patient also confirmed stability of dentures even during parafunctional activities.

CLINICAL SIGNIFICANCE: Bilateral Balanced Occlusion improves denture stability, provides better masticatory force distribution, reduces active loading on supporting tissue and the edentulous ridge, reduces residual ridge resorption, and improves denture efficiency. The balanced denture thus provides additional comfort to the patient in terms of fit, stability, function, and esthetics.

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