Dental certificate

At the start of treatment the patient presented a severely compromised dentition with extensive functional problems.

The clinical examination revealed an advanced collapse of the bite with extensive dental damage, severely impaired occlusion and significant loss of normal masticatory function. The patient described marked difficulty chewing a normal diet and a notably reduced chewing capacity. The dentition was functionally unstable and could no longer be used normally.

The condition had also caused load-related complaints from the temporomandibular joints, with symptoms consistent with temporomandibular dysfunction (TMD) — pain, fatigue and functional difficulty under load. On examination, the dentition could no longer be regarded as functionally usable for normal oral function.

Without rehabilitative treatment there was a significant risk of further deterioration of the dentition, additional tooth loss, increased load on the remaining teeth and progression of the joint complaints.

• Severe occlusal instability
• Functional collapse of the bite
• Severely reduced masticatory function
• Multiple damaged teeth requiring restoration
• Occlusal disturbance and reduced oral function
• Partial tooth loss
• Temporomandibular dysfunction (joint complaints)
• Risk of continued progressive deterioration of bite function

The treatment carried out was assessed as medically and functionally necessary. The aims of the treatment were to:

• restore normal chewing function
• eliminate occlusal instability
• re-create a functional, durable bite
• distribute chewing forces correctly
• reduce load on the joints
• restore normal occlusion
• prevent further breakdown of the bite
• restore the ability to eat and function normally

The treatment constituted an extensive oral rehabilitation aimed at restoring the function, stability and long-term prognosis of the dentition. It was not performed for primarily aesthetic reasons, but to restore normal oral function and prevent further medical complications.

On completion of treatment the following was established:

• chewing function restored
• stable, reproducible occlusion achieved
• normalised bite function
• improved load distribution in the bite
• reduced load on the joints
• improved oral health
• improved functional comfort
• substantially improved long-term prognosis

Following rehabilitation, the patient is again able to use the dentition in a normal, functional way for daily chewing and oral function.

Before treatment, the patient presented a severely compromised and functionally unusable dentition with markedly reduced chewing function, pronounced occlusal instability and joint-related complaints. The treatment carried out constituted an extensive, medically justified oral rehabilitation intended to restore normal bite function, chewing capacity, occlusion and oral health.

It is my professional assessment that the treatment was functionally necessary in order to restore the patient's basic oral function and to prevent further deterioration of the dentition.