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, 13 (1), 43-47

Telescopic Overdenture: A Case Report

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Telescopic Overdenture: A Case Report

C S Shruthi et al. Int J Biomed Sci.

Abstract

Patient: This report describes the case of a 68 year old female patient who presented with the chief complaint of difficulty in chewing and poor aesthetics due to missing teeth. The patient was interested in saving the remaining natural teeth and desired minimal tissue coverage from the prosthesis. After consideration of all the factors involved, it was deemed advisable to resort to a palate free maxillary telescopic complete denture and a mandibular removable partial denture.

Discussion: Considering the age of the patient and the cost involved, implant supported prosthesis was ruled out as a treatment option for the patient. A telescopic denture was chosen as a favourable treatment option since it overcomes many of the problems posed by conventional complete dentures like progressive bone loss, lower stability and retention, loss of periodontal proprioception and low masticatory efficiency. It also provides minimal tissue coverage and better distribution of forces. Evaluation of occlusion, esthetics, phonetics and comfort after 24 hours, 1 week and 1 month of treatment showed that the patient was happy with the prosthesis and was able to speak and chew well.

Conclusion: Telescopic overdentures have better retention and stability as compared to conventional complete dentures. They improve the chewing efficiency, patient comfort and also decrease the alveolar bone resorption. As such they are an excellent alternative to conventional complete denture treatment.

Keywords: crown and sleeve coping; double crown; overdenture; telescopic denture; telescopic overlay denture.

Figures

Figure 1
Figure 1
Pre-operative intraoral frontal view after extraction.
Figure 2
Figure 2
Pre-operative intraoral view of the maxillary arch after endodontic treatment.
Figure 3
Figure 3
Pre-operative intraoral view of the mandibular arch after endodontic treatment.
Figure 4
Figure 4
Primary metal copings.
Figure 5
Figure 5
Intraoral view of primary copings cemented on 14, 17, 24 and 27.
Figure 6
Figure 6
Metal framework with secondary copings ready for try-in.
Figure 7
Figure 7
Intraoral view of the finished and polished maxillary telescopic overdenture and mandibular removable partial denture.
Figure 8
Figure 8
Right lateral view.
Figure 9
Figure 9
Post-placement view of the patient.

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