Restoration of the anterior guide with the fixed prosthesis

Abstract

The anterior guide is a functional entity, which is part of the set of guidance provided by the dento-dental joints to the mandibular kinematics, essential for the establishment of harmonious occlusal relations. The anterior guide is a key to understanding and reconstructing the occlusion, playing both a role of protecting the posterior teeth and guiding the functional movements of the mandible. Currently, it also represents an “exteroceptive feeler” creating a cone of access to the occlusion in intercuspation. The restoration of functional and protective anterior guidance is therefore essential for the balance of the masticatory system. This rehabilitation can only be achieved by examining and accurately diagnosing the occlusion relationships maintained by the anterior teeth, associated with a reasoned therapeutic approach validated by a test phase. After a brief description of the anterior function and its role, this article aims to detail, through a clinical case, the procedure to follow for the restoration of a functional anterior guide.