Indonesian Journal of Prosthodontics December 2023.
: 89-92
Case Removable partial denture with telescopic overdenture Riskani Djafri.
Acing Habibie Mude Department of Prosthodontics Faculty of Dentistry.
Hasanuddin University Makassar.
Indonesia Corresponding author: Riskani Djafri, e-mail: ikhariskani22@gmail.
ABSTRACT
Telescopic dentures have better retention and stability than conventional complete dentures.
It improves masticatory efficiency, patient comfort, and reduces alveolar bone resorption.
This article reports an overdenture telescopic denture as a treatment option in progressive bone loss, low stability and retention, loss of periodontal proprioception and low masticatory efficiency.
A 35-years-old female came to RSGM Unhas, with complaints of difficulty chewing food due to the loss of several posterior teeth of the upper jaw and lower jaw.
The patient felt pain when chewing due to cavities.
The patient wanted to retain the remaining teeth and wanted minimal denture-covered mucosa.
After considering all factors, a telescopic overdenture removable denture RA and RB was recommended.
Intraoral examination dental caries 13,11,21,22,23,34,35,45.
edentulous 12,14,16,24,25,37,36,44,46 anterior deep bite, normal occlusion.
It was concluded that the evaluation of occlusion, aesthetics, phonetics and comfort showed that the patient was satisfied, could speak, chew well while using his denture.
Keywords: telescopic, overdenture, removable partial denture INTRODUCTION.
Loss of permanent teeth in adult patients without replacement can result in impaired masticatory, esthetic and phonetic functions.
In addition, there can be disturbances in the balance of the masticatory organs in the mouth, such as migration of neighbouring teeth, extrusion of antagonistic teeth, loss of contact, caries, gingival recession and periodontal pockets which cause more complex dental and oral health problems.
Definitive overdentures have been used to rehabilitate partially and completely edentulous patient overdentures were defined as removable partial or complete dentures that cover and rest on one or more remaining natural teeth, roots, and or/ dental implants.
Additionally, overdentures may be defined as dental prostheses that replace the lost or missing natural dentition and associated structures of the maxilla and/or mandible receiving partial support and stability from one or more modified natural teeth.
Telescopic overdenture is a development of conventional overdenture, with more advantages than conventional overdenture.
The concept of a telescopic crown comes from an optical microscope that works on the principle of movement between two parallel cylinders.
Telescopic crown is a denture with a combination of tooth and mucosal support, is a removable prosthesis that is designed to fit the natural tooth and the surrounding soft tissue in order to replace the missing tooth.
The telescopic crown prosthesis consists of .
coping primers or caps, made of precious or base metal, cemented onto the prepared tooth.
secondary coping .
lloy meta.
which is inserted into the secondary crown, with the aim of retaining the tooth through a sliding friction mechanism that is tight on the tooth.
This secondary coping has a facing surface which will be filled with acrylic resin, composite, or ceramic.
the skeleton is made of base metal alloy embedded in acrylic resin to support acrylic teeth which will serve to replace the missing teeth.
Prosthetic rehabilitation of a partially edentulous patient can be established by using a wide range of treatment options.
Most preferred prosthetic approaches are conventional removable partial dentures (RPD), teeth or implant supported overdentures, fixed partial dentures, and implant supported fixed or partial dentures (ISFPD).
Conventional removable dentures, supported by remaining teeth and alveolar tissues, have been widely However, the traditional retention systems such as metallic clasps, frequently used in these conventional removable dentures, impose lateral forces on remaining abutments, increase abrasive wear, and cause unaesthetic appearancecase.
Rehabilitation therapy with these anchorage methods could increase retention and stability compared to conventional RPDs retained by clasps and have aesthetic advantages due to the absence of any visible metallic clasps.
This procedure is a simple, economic and conservative solution, which retains the principles and advantages of classic overdentures5
CASE
A 35-year-old female patient referred to Department of Prosthodontics.
Faculty of Dentistry.
Hasanuddin University, for esthetic problem and chew- DOI: 10.
46934/ijp.
Riskani Djafri & Acing H.
Mude: Removable partial denture with telescopic overdenture ing inability.
After obtaining her medical, dental, and social histories, the patient was examined clinically and radiographically.
shows that she had lost her many teeth in the upper jaw and the lower jaw due to periodontal diseases and caries.
Intraoral examination shows edentulous 14,15,16,21,24, 26,34,36,37,46,47.
anterior deep bite, normal occlusion (Fig.
MANAGEMENT
Anatomical impressions were taken on the first visit (Fig.
Then, preliminary treatments were done before the prosthodontics treatment.
scaling on all remaining teeth, full crown preparation for telescopic crown on teeth 13,22,35,44,45.
Gingival retraction with thread and adrenaline, as well as printing of the working model with a perforated stock tray with PVS impression material (Fig.
Making temporary crown with acrylic self-curing material and the laboratory process is carried out for the manunufacture of double crowns.
After the primary coping framework was completed, a try-in was performed on teeth 13,22 and 35,44,45.
Check the edge accuracy of the primary coping framework.
The impression was made with PVS impression material along with the primary coping framework and sent back to the laboratory for the final process of making primary coping, secondary coping, and metal frame partial denture base (Fig.
After primary coping, secondary coping and finished base, a trial pair of primary coping was performed on teeth 12,13 and 35, 44,45.
The impression is made with PVS impression material along with the primary coping framework (Fig.
, and sent back to the laboratory for the final process of making primary coping, secondary coping, and removable partial overdenture metal frame base.
At the next visit after primary coping, secondary coping and base of RPD finished metal frame, trial and error of primary coping was performed on the teeth (Fig.
After all the crowns were delivered and cemented, the partial removable telescopic overdenture was inserted (Fig.
, checking for retention, stabilization, occlusion, esthetics and patient comfort in wearing If there is a traumatic occlusion, grinding is done on the traumatized area.
DISCUSSION