Oral rehabilitation using customized intra-radicular Dalbo attachments

Abstract

Teeth may be lost because of trauma, caries, periodontal disease, congenital defects and iatrogenic treatment. Tooth loss has a negative impact on masticatory function, esthetics and self-image. Fixed partial dentures, removable partial dentures, complete dentures and implant-supported dentures can replace missing teeth comfortably and esthetically, but it is not known whether they differ in their ability to reconstruct the masticatory function, phonetics and esthetics and preserve the residual bone ridge. Despite recent developments in dental implantology, the conservative approach to root preservation is still valid. In view of increased root caries rate in the elderly arid lax oral hygiene habits of the most overdenture wearers, placing protective copings on root abutments, when economically feasible, is the preferred method of treatment. Retention of overdentures is increased by including stud attachments in the abutments. Incorporation of cast metal frameworks is recommended to prevent base fractures. Clinical Relevance to Interdisciplinary Dentistry With some patients, the operating dentist alone cannot accomplish the correction, but may require the assistance of other dental disciplines. This case report describes an interdisciplinary approach for the coordinated treatment of a patient with badly broken down and missing teeth. The patient's functional and esthetic expectations were successfully met with interdisciplinary treatments, including Oral prophylaxis followed by treatment for benign migratory glossitis. Endodontic treatment for two grossly carious teeth. Cast partial dentures for the maxilla and mandible.