Conventional tooth supported overdenture: A case report

B Kharel,Bb Basnet,Pk Parajuli,I Limbu,P Suwal,A Rai

doi:10.3126/jnprossoc.v4i1.42317

B Kharel, Bb Basnet + Show 4 more

Open Access

https://doi.org/10.3126/jnprossoc.v4i1.42317

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Abstract

The present prime concern in dentistry is on preservation of remaining natural teeth. Presence of few teeth in oral cavity help in preserving alveolar ridge integrity, maintain the proprioception, and gives psychological benefit to the patient. Overdenture has proven to be the mainstay of conservative prosthodontic treatment when proper diagnosis, treatment planning, and most importantly, patient compliance are achieved. This paper presents a case report of rehabilitation of a 65 year old patient with multiple missing teeth with tooth supported overdenture in both maxilla and mandible.

Highlights

Removal of all natural teeth and wearing of complete dentures for a long time generally results in alveolar bone loss
An overdenture is defined as any removable dental prosthesis that covers and rests on one or more remaining natural teeth, the roots of natural
The tooth supported overdenture technique should not be reserved for use only in the mandibular arch; the procedure can be used in the maxilla.[6]

Summary

Introduction

Removal of all natural teeth and wearing of complete dentures for a long time generally results in alveolar bone loss. Impression was made with additional silicone (Aquasil, Dentsply) for the fabrication of copings. Primary impressions for the maxillary and mandibular arches were made with alginate (Zelgan, Dentsply). The impressions were poured and special trays were fabricated with self-cure acrylic resin with double spacer over abutment teeth. Final impressions for the maxillary and mandibular arches (Figure 4) were made with light body addition silicones (Reprosil, Dentsply). Teeth arrangement was done and evaluated in the patient’s mouth for phonetics, vertical and centric relation, and esthetics (Figure 6). Patient’s approval was taken, and the curing of the final denture was done in acrylic resin (Trevalon, Dentsply). Clear post-insertion instructions regarding denture and abutment teeth were given to the patient.

Discussion

Conclusion