J Korean Acad Prosthodont.  2019 Jan;57(1):24-30. 10.4047/jkap.2019.57.1.24.

Clinical Report by using hybrid telescopic double crown Removable Partial Denture on a few remaining teeth with severe periodontal disease

• Seo JW
• Lee CH

• KMID: 2431998
• DOI: http://doi.org/10.4047/jkap.2019.57.1.24

Abstract

The successful results of the treatment using a double crown denture have been reported in several papers for some of the few remaining teeth in patient. In particular, double crown dentures may be an alternative to treatment in cases where the periodontal status is poor and clasp type removable partial dentures are inappropriate (crown/root ratio > 1). In this case, the patient visited clinic with a chief complaint of difficulty in mastication due to loss of posterior teeth and overall teeth mobility. After teeth with severe periodontitis were extracted, treatment plan of mandible is Kennedy class I removable partial denture (RPD) and treatment plan of maxilla is hybrid telescopic double crown RPD with a friction pin. Patient is well adapted after the prosthetic treatment and we report due to achieving satisfactory results in pronunciation, mastication, retention and aesthetics.

Keyword

Severe periodontal disease; Hybrid telescopic double crown; Friction pin

MeSH Terms

Crowns*
Denture, Partial, Removable*
Dentures
Esthetics
Friction
Humans
Mandible
Mastication
Maxilla
Periodontal Diseases*
Periodontitis
Tooth*

Figure

• 

  Fig. 1 Initial panoramic radiograph.

• 

  Fig. 2 Initial intraoral photograph (after extraction). (A) Maxillary occlusal view, (B) Right buccal view, (C) Frontal view, (D) Left buccal view, (E) Mandibular occlusal view.

• 

  Fig. 3 Provisional fixed restoration and removable partial denture

• 

  Fig. 4 Maxillary impression procedure. (A) Maxillary inner crown, (B) Pick up impression, (C) Master cast.

• 

  Fig. 5 Vertical dimension determination and centric relation record. (A) Intraoral view, (B) Model view.

• 

  Fig. 6 Mandibular procedure. (A) Rest preparation on tooth, (B) Pick up impression.

• 

  Fig. 7 Outer crown and Metal frame. (A) Intraoral occlusal view, (B) Model occlusal view.

• 

  Fig. 8 Wax denture try-in. (A) Maxillary occlusal view, (B) Right buccal view, (C) Frontal view, (D) Left buccal view, (E) Mandibular occlusal view.

• 

  Fig. 9 Definitive restoration. (A) Maxillary occlusal view, (B) Right buccal view, (C) Frontal view, (D) Left buccal view, (E) Mandibular occlusal view.

Reference

1. Phoenix RD, Cagna DR, DeFreest CF, Stewart KL. Stewart's clinical removable partial prosthodontics. 4th ed. Hanover Park, IL, USA: Quintessence Pub.;2008. p. 185–188.

2. Isaacson GO. Telescope crown retainers for removable partial dentures. J Prosthet Dent. 1969; 22:436–448.

3. Bergman B, Ericson A, Molin M. Long-term clinical results after treatment with conical crown-retained dentures. Int J Prosthodont. 1996; 9:533–538.

4. Wenz HJ, Hertrampf K, Lehmann KM. Clinical longevity of removable partial dentures retained by telescopic crowns: outcome of the double crown with clearance fit. Int J Prosthodont. 2001; 14:207–213.

5. Widbom T, Löfquist L, Widbom C, Söderfeldt B, Kronström M. Tooth-supported telescopic crown-retained dentures: an up to 9-year retrospective clinical follow-up study. Int J Prosthodont. 2004; 17:29–34.

6. Verma R, Joda T, Brägger U, Wittneben JG. A systematic review of the clinical performance of tooth-retained and implant-retained double crown prostheses with a follow-up of ≥ 3 years. J Prosthodont. 2013; 22:2–12.

7. Akagawa Y, Seo T, Ohkawa S, Tsuru H. A new telescopic crown system using a soldered horizontal pin for removable partial dentures. J Prosthet Dent. 1993; 69:228–231.

8. Jo LJ. Spark erosion process: An overview. J Dent Implant. 2011; 1:2–6.

9. Weber H, Frank G. Spark erosion procedure: a method for extensive combined fixed and removable prosthodontic care. J Prosthet Dent. 1993; 69:222–227.

10. Zarb G, Hobkirk JA, Eckert SE, Jacob RF. Prosthodontic treatment for edentulous patients. 13th ed. St. Louis: Mosby;2013. p. 180–203.

11. Wenz HJ, Lehmann KM. A telescopic crown concept for the restoration of the partially edentulous arch: the Marburg double crown system. Int J Prosthodont. 1998; 11:541–550.

12. Heckmann SM, Schrott A, Graef F, Wichmann MG, Weber HP. Mandibular two-implant telescopic overdentures. Clin Oral Implants Res. 2004; 15:560–569.

13. Zafiropoulos GG, Rebbe J, Thielen U, Deli G, Beaumont C, Hoffmann O. Zirconia removable telescopic dentures retained on teeth or implants for maxilla rehabilitation. Three-year observation of three cases. J Oral Implantol. 2010; 36:455–465.

14. Sigh K, Gupta N. Telescopic denture - A treatment modality for minimizing the conventional removable complete denture problems: A case report. J Clin Diagn Res. 2012; 6:1112–1116.

15. Saito M, Miura Y, Notani K, Kawasaki T. Stress distribution of abutments and base displacement with precision attachment-and telescopic crown-retained removable partial dentures. J Oral Rehabil. 2003; 30:482–487.

16. Sahin V, Akaltan F, Parnas L. Effects of the type and rigidity of the retainer and the number of abutting teeth on stress distribution of telescopic-retained removable partial dentures. J Dent Sci. 2012; 7:7–13.