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Purpose: To observe the effect of removable denture with metal stent of baked plastic occlusal pad in the reconstruction of dentition defects accompanied with severe residual teeth attrition., Methods: Twenty one patients were selected with dentition defects accompanied with severe residual teeth attrition, who needed occlusal reconstruction. Their removable dentures with metal stent of baked plastic occlusal pad were reconstructed, and their occlusal vertical dimensions were restored. The restoration effect was evaluated., Results: Twenty-one patients were treated and followed up for 12-24 months. Excellent results were achieved in 18 patients, and fair results were obtained in 3 patients., Conclusions: Using the baked plastic occlusal pad can not only recover patients' occlusal vertical dimension, but also restore the shapes and function of their residual teeth to a better extent. It is a good method for occlusal reconstruction.