Journal List > J Korean Acad Prosthodont > v.53(1) > 1034851

Oh and Lee: A case report on telescopic denture with a small number of residual teeth in mandible

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.

REFERENCES

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Fig. 1.
Panoramic radiograph at first visit.
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Fig. 2.
Clinical photo after extraction and periodontal treatment.
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Fig. 3.
Lower abutment preparation and inner coping fabrication.
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Fig. 4.
Temporary denture delivery.
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Fig. 5.
Inner coping try-in.
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Fig. 6.
Inner coping and framework connection.
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Fig. 7.
Lower framework try-in.
jkap-53-46f7.tif
Fig. 8.
Definitive prosthesis.
jkap-53-46f8.tif
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