Causes of failures of long-term used double crown denture and new rehabilitation with dental implant and tooth combined denture using remaining teeth and implants

Jeong-Gyo Seo; Jin-Hyun Cho

doi:10.4047/jkap.2018.56.4.384

Journal List > J Korean Acad Prosthodont > v.56(4) > 1106334

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Seo and Cho: Causes of failures of long-term used double crown denture and new rehabilitation with dental implant and tooth combined denture using remaining teeth and implants

Case Report

The Journal of Korean Academy of Prosthodontics 2018; 56(4): 384-390.

Published online: 30 October 2018

DOI: https://doi.org/10.4047/jkap.2018.56.4.384

Causes of failures of long-term used double crown denture and new rehabilitation with dental implant and tooth combined denture using remaining teeth and implants

Jeong-Gyo Seo

, Jin-Hyun Cho

Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.

Corresponding Author: Jin-Hyun Cho. Department of Prosthodontics, School of Dentistry, Kyungpook National University 2177, Dalgubeol-daero, Jung-gu, Daegu 41940, Republic of Korea. +82 (0)53 600 7651: prosth95@knu.ac.kr

Received 24 July 2018 Revised 11 September 2018 Accepted 12 September 2018

The Korean Academy of Prosthodontics

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hybrid telescopic double crown have ever been good treatment option for patient with periodontally unfavorable few remaining teeth for successful prognosis. Tooth and implant combined telescopic double crown can be used for improving retention and support for denture with strategically placed implants on edentulous ridge. In this case, an 55-year-old female patient had chronic periodontitis with few remaining teeth on maxilla and fixed partial prosthodontics on mandible. Treatment of hybrid telescopic double crown with friction pin lasted 9.5 years only with natural teeth. After 9.5 years, additional implants was installed due to fracture of cast-posted abutment teeth. After implantation, tooth and implant combined double crown had fabricated. Through re-treatment, no complications of new denture has been found during 2 years follow up. This case presents fair prognosis of tooth and implant combined double crown denture in periodontally unfavorable condition.

Keywords: Telescopic double crown, Implant and tooth combined denture

Figures and Tables

Fig. 1

Initial intraoral photograph and panoramic radiograph. (A) Right buccal view, (B) Frontal view, (C) Left buccal view, (D) Panorama.

Fig. 2

Maxillary abutments. (A) Crown remove, (B) Caries remove, (C) Resin filling.

Fig. 3

Maxillary impression procedure. (A) Inner crowns, (B) Pick up impression, (C) Master cast.

Fig. 4

VD/CR recording. (A) Btie registration with Alu wax, (B) Bite registration with silicon material, (C) Cast Mounting after facebow transfer.

Fig. 5

Wax denture & fixed restorations. (A) Maxillary wax denture, (B) Fixed prosthodontics on Mandible, (C) Wax denture try-in.

Fig. 6

Definitive restoration. (A) Frontal view, (B) Maxillary occlusal view, (C) Mandibular occlusal view.

Fig. 7

9.5 years later after delivery (A) Extracted abutments (#14, 24, 25), (B) Panoramic radiograph.

Fig. 8

Implantation (A) Intraoral view, (B) Panoramic radiograph.

Fig. 9

Definitive restoration. (A) Hybrid telescopic double crown RPD, (B) Inner crowns on Maxilla, (C) After delivery.

Fig. 10

Panoramic radiograph 1 year later after new denture delivery.

Fig. 11

(A) Worn artificial teeth, (B) Metal bite exchange.

Notes

This research was supported by Kyungpook National University Research Fund, 2016.

References

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ORCID iDs

Jeong-Gyo Seo
https://orcid.org/0000-0003-2322-5715

Jin-Hyun Cho
https://orcid.org/0000-0002-2453-9372

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