J Dent Rehabil Appl Sci.  2016 Dec;32(4):307-313. 10.14368/jdras.2016.32.4.307.

Overdenture treatment in patient with severely worn dentition: a case report

• Kim MJ
• Kim JY
• Yang HS
• Lim HP
• Yun KD
• Park C
• Shin JH
• Park SW

• KMID: 2369071
• DOI: http://doi.org/10.14368/jdras.2016.32.4.307

Abstract

Overdenture is one of the methods of patients with severely worn dentition. Remaining natural teeth help preserve alveolar bone and proprioception and provide rigid support. Also, overdenture distributes the concentrated stress applied to the abutment tooth and denture supporting tissues. There is an advantage that it can provide long-term stability to denture. In this case, the patient with only a few teeth due to severe wear and caries was satisfied with good function and favorable esthetics by using overdenture.

Keyword

worn dentition; overdenture

MeSH Terms

Dentition*
Denture, Overlay*
Dentures
Esthetics
Humans
Proprioception
Tooth

Figure

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  Fig. 1 Initial intraoral photographs. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

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  Fig. 2 Initial panoramic radiography.

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  Fig. 3 (A) Maxillary occlusion rim with gothic arch tracer, (B) Mandibular occlusion rim with gothic arch tracer, (C) Maxillomandibular relationship taking with gothic arch tracer.

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  Fig. 4 Provisional prosthesis. (A) Lateral view (right), (B) Frontal view, (C) Lateral view (left).

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  Fig. 5 (A) Preparation for gold coping on maxillary teeth, (B) Preparation for gold coping on mandibular teeth, (C) Definitive impression taking of maxilla, (D) Definitive impression taking of mandible.

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  Fig. 6 (A) Installed gold coping with resin cement on maxilla, (B) Installed gold coping with resin cement on mandible.

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  Fig. 7 Bordermolding and definitive impression taking. (A) Bordermolding for maxillary denture, (B) Final impression of maxilla, (C) Master cast of maxilla, (D) Bordermolding for mandibular denture, (E) Final impression of mandible, (F) Master cast of mandible.

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  Fig. 8 (A) Maxillomandibular relationship registration, (B) Facebow transfer, (C, D) Mounting procedure to semiadjustable articulator.

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  Fig. 9 Wax denture try-in. (A) Lateral view (right), (B) Frontal view, (C) Lateral view (left).

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  Fig. 10 Definitive denture. (A) Lateral view (right), (B) Frontal view, (C) Lateral view (left).

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  Fig. 11 Patient’s profile. (A) Profile of first visit, (B) Profile of after definitive denture delivery.

Reference

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