J Adv Prosthodont.  2012 Nov;4(4):239-242. 10.4047/jap.2012.4.4.239.

Prosthodontic management of worn dentition in pediatric patient with complete overlay dentures: a case report

• Kumar P
• Rastogi J
• Jain C
• Singh HP

• KMID: 2176424
• DOI: http://doi.org/10.4047/jap.2012.4.4.239

Abstract

Overlay complete dentures are simple, reversible and economical treatment modality for patients with congenital or acquired disorders that severely affect the tooth development. It satisfies both the esthetic and functional demands where the extraction of teeth is not generally indicated. In pediatric patients, the overlay dentures establish a relatively stable occlusion that improves patient's tolerance to the future treatment procedures for worn dentition. This clinical report highlights the imperative need of appropriate treatment strategy and application of maxillary and mandibular overlay dentures in a pediatric patient who suffered from congenitally mutilated and worn dentition.

Keyword

Overlay dentures; Occlusal wear; Vertical dimension

MeSH Terms

Dentition
Denture, Complete
Denture, Overlay
Humans
Prosthodontics
Tooth
Tooth Attrition
Vertical Dimension

Figure

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  Fig. 1 Flow chart depicting the treatment protocol of generalized tooth wear in child patient.15,20

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  Fig. 2 A: Maxillary arch showing multiple missing teeth and malformed remaining teeth, B: Mandibular arch showing partial ankyloglossia, oligodontia, widely spaced and discolored teeth, C: Radiographic presentation of Weyer's acrodental dysostosis. Note the multiple impacted, unerupted, partially erupted with large pulp chambers.

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  Fig. 3 Face bow recording and processed overlay denture in mouth.

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  Fig. 4 Tissue surface of overlay denture showing indentations that fit over the patient's retained teeth.

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  Fig. 5 A: Pre- treatment view, B: Post- treatment view. Note the increase in lower facial height and marked improvement in esthetic.

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  Fig. 6 Post treatment frontal view.

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