Journal List > J Korean Acad Prosthodont > v.54(3) > 1034878

Ha and Cho: Hybrid telescopic double crown denture on maxillary few remaining teeth and 2 mandibular implants in case of failed implant overdenture

Abstract

Double crown prostheses can be used in patients who have a few remaining teeth and poor periodontal condition because of secondary splinting of abutments, vertical loading, decrease of the length of lever arm due to fulcrum line located on margin of inner and outer crown. Successful results of treatments using double crown prostheses for the partially edentulous patients who have a few remaining teeth and implant overdenture using a small number of implants have been reported. In this case, there were a few remaining teeth with a very poor periodontal condition in maxilla, and there were a failed implant with severe alveolar bone resorption and shrinkage in the mandible. The main objective of this report is to introduce our case because a double crown partial denture showed satisfactory results in functional and esthetical aspects during more than one-year follow-up period. (J Korean Acad Prosthodont 2016;54:246-52)

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Fig. 1.
Panoramic radiograph of 7 years ago.
jkap-54-246f1.tif
Fig. 2.
Initial intraoral photograph. (A) Mx. right palatal view, (B) Frontal view, (C) Mn. ant. occlusal view.
jkap-54-246f2.tif
Fig. 3.
Initial panoramic radiograph.
jkap-54-246f3.tif
Fig. 4.
Provisional denture impression, CR record, and facebow transfer.
jkap-54-246f4.tif
Fig. 5.
Making individual tray and functional impression. (A) Mx. impression using provisional denture, (B) Mx. cast for individual tray, (C) Mx. functional impression, (D) Mn. impression using provisional denture, (E) Mn. cast for individual tray, (F) Mn. functional impression.
jkap-54-246f5.tif
Fig. 6.
Vertical dimension determination and CR record. (A) Mx. & Mn. provisional denture, (B) Mx. record wax rim & Mn. provisional denture at determined VD, (C) Mx. & Mn. wax rim at determined VD.
jkap-54-246f6.tif
Fig. 7.
Putty index fabrication and denture teeth arrangement. (A) Mx. putty index, (B) Mx. teeth arrangement using putty index, (C) Mn. putty index, (D) Mn. teeth arrangement using putty index.
jkap-54-246f7.tif
Fig. 8.
Completion of permanent denture. (A, B) Mx. permanent denture with friction pin in outer crown. (C, D) Mn. permanent denture with friction pin in outer crown.
jkap-54-246f8.tif
Fig. 9.
Definitive restoration. (A) Right buccal view, (B) Frontal view, (C) Left buccal view.
jkap-54-246f9.tif
Fig. 10.
Final panoramic radiograph.
jkap-54-246f10.tif
Fig. 11.
One-year follow-up. Intraoral photograph of frontal view.
jkap-54-246f11.tif
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