Complete denture can be a very tricky procedure for many dentists when there are teeth remaining in the oral cavity. So, planning for improving the treatment prognosis and to provide greater comfort to the patient must be considered. This case report describes the advantages and use of remaining teeth to ais in the stability, support and retention of the complete denture.
Introduction
The loss of teeth is generally associated with esthetic, functional, psychological and social impairment of the individual’s life which may have a high impact of the patient’s self-esteem and health [1,2]. Periodontal disease and dental caries are indicated as main causes for the loss of teeth and are associated with cultural and social factors such as financial sources, educational level and the access to health services [3,4].
In regards to the rehabilitation alternatives such as the use of dental implants, fixed prosthesis, removable partial or complete dentures, the overdenture rehabilitation is a viable and simple alternative and has been demonstrated to be efficient in these clinical situations [7]. Root-supported overdentures have been fabricated to correct periodontal and/or occlusal collapse. Some teeth are maintained to support and/or retain the prosthesis and therefore, maximizing prosthesis stability, besides preserving proprioception of the periodontal ligament and reducing bone loss [8-10].
In some situations, the dissatisfaction of the patient using conventional complete dentures is observed because of the instability of the prostheses. This instability is generated by prostheses movement over the soft tissue mainly in the mandibular arch. Thus, the preservation of roots are an effective way to improve prosthesis support and can be associated or not with retention systems [8]. The aim of this clinical case report was to present an oral rehabilitation of maxillary and mandibular tooth-supported overdentures
Case Report
A 65-year-old male patient with no systemic problems looked for dental treatment complaining about his dental aesthetics and functional problems. His major desire was to improve his masticatory function by extraction of all remaining teeth and complete denture fabrication.
The intraoral examination revealed an edentulous maxilla and partially dentulous mandible. The teeth present in the mandible were canines in both the quadrants. So a maxillay complete denture and tooth supported mandibular denture was planned for the patient
Radiographic evaluation was done for the remaining teeth to evaluate the bone support. Endondontic treatment was carried out for both the teeth. Teeth were reduced and a post space was created. Posts with copings were fabricated by using resin material. Copings were fabricated and cemented. Primary impression was made of the maxillary arch using impression compound and alginate for the mandible. Gypsum models were obtained and special trays were fabricated Final impression was made using special trays. Conventional technique
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- De Marchi RJ, Hilgert JB, Hugo FN, Santos CM, Martins AB et al. Four-year incidence and predictors of tooth loss among older adults in a southern Brazilian city. Community Dentistry and Oral Epidemiology. 2012; 40: 396-405.
- Saintrain MV, de Souza EH. Impact of tooth loss on the quality of life. Gerodontology. 2012; 29: e632-636.
- De Marchi RJ, Leal AF, Padilha DM, Brondani MA. Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study. Journal of Cross–Cultural Gerontology. 2012; 27: 239-258.
