J Korean Acad Prosthodont.  2015 Jan;53(1):46-50. 10.4047/jkap.2015.53.1.46.

A case report on telescopic denture with a small number of residual teeth in mandible

Affiliations
  • 1Department of Prosthodontics, School of Dentistry, Yonsei University, Seoul, Republic of Korea. jaehoon115@yuhs.ac

Abstract

Restoration of a patient with thin and low residual ridges using a removable partial denture cannot provide proper anterioposterior stability and support, so it results in patient discomfort and severe occlusal force. Also, when a small number of residual teeth are far apart from one another, it is difficult to splint. When these teeth are not splinted, they become solitary abutments, which is not a wise treatment decision. In this case, telescopic system reduces severe lateral load on abutments resulting from a clasp denture and it provides stable and definite retention and solidity. In this case report, a patient exhibited full edentulism in maxilla, and a small number of residual teeth in mandible, which were restored with a complete denture and a telescopic denture respectively. In treatment planning, it was concluded that a patient was restored with a telescopic denture since it was highly probable that a clasp denture would create discomfort and difficulty due to a small number of residual teeth located far apart and residual ridges without proper support.

Keyword

Telescopic denture

MeSH Terms

Bite Force
Denture, Complete
Denture, Partial, Removable
Dentures*
Humans
Mandible*
Maxilla
Splints
Tooth*

Figure

  • Fig. 1. Panoramic radiograph at first visit.

  • Fig. 2. Clinical photo after extraction and periodontal treatment.

  • Fig. 3. Lower abutment preparation and inner coping fabrication.

  • Fig. 4. Temporary denture delivery.

  • Fig. 5. Inner coping try-in.

  • Fig. 6. Inner coping and framework connection.

  • Fig. 7. Lower framework try-in.

  • Fig. 8. Definitive prosthesis.


Reference

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