A Combination Prosthesis Using Thimble Copings for Reconstruction of Mutilated Dentition: A Case Report at Nobel Medical College, Biratnagar

D Naulakha,M Dali,Robin Singh Warainch

doi:10.3126/bjhs.v2i2.18532

D Naulakha, M Dali + Show 1 more

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https://doi.org/10.3126/bjhs.v2i2.18532

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Abstract

Planning and executing the restorative rehabilitation of a severely mutilated dentition is one of the most challenging tasks for the restorative dentist. This case report illustrates an interdisciplinary approach in the treatment of a multifaceted case of partial loss of teeth. A series of provisional prosthesis were used before the final treatment due to extreme complexity of the patient situation. The final treatment was composed of innovatively designed thimble copings, telescopic retainer and cast metal frame work for the rehabilitation of the maxillary and mandibular arch.Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, page: 222-226

Highlights

The par al loss of den on can lead to various problems in the mas catory system of the pa ent which can be func onal, biological and aesthe cal.[1,2] This can lead to minor or major movements of the le out teeth in the arch and loss of ver cal dimension of occlusion (VDO) can occur by supra erup on of the opposing teeth.[2,3]This clinical report demonstrates an interdisciplinary approach in treatment planning of a complex case of par al edentulism
The final treatment involved innova vely designed thimble copings and telescopic crowns as retainers for fixed removable prosthesis that uses the concept of telescopic a achments and takes support from the fixed retainers as well as remaining teeth as abutments making it hybrid prosthesis
The treatment op ons presented were: · Maxillary arch restora on with fixed par al denture. · Mandibular arch rehabilita on with combina on prosthesis using thimble coping and crowns on all the natural teeth remaining and followed by a fixed removable prosthesis which used a cast par al denture like framework in the edentulous area.[4]

Summary

INTRODUCTION

The par al loss of den on can lead to various problems in the mas catory system of the pa ent which can be func onal, biological and aesthe cal.[1,2] This can lead to minor or major movements of the le out teeth in the arch and loss of ver cal dimension of occlusion (VDO) can occur by supra erup on of the opposing teeth.[2,3]. · Mandibular arch rehabilita on with combina on prosthesis using thimble coping and crowns on all the natural teeth remaining and followed by a fixed removable prosthesis which used a cast par al denture like framework in the edentulous area.[4]. Heat cured provisional restora ons (DPI heat cure tooth molding powder, DPI, India) was fabricated and tried on semi adjustable ar culator and adjusted to Bilateral Group were surveyed to check the parallelism and determine most suitable path of inser on of the defini ve prosthesis. There is no complaint of any pain or discomfort in TMJ region

DISCUSSION

CONCLUSION