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套筒冠覆盖义齿：病例报告

Telescopic Overdenture: A Case Report.

作者信息

Shruthi C S, Poojya R, Ram Swati

机构信息

Professor, Department of Prosthodontics, M R Ambedkar Dental College and Hospital, Bangalore, Karnataka, India.

Reader, Department of Prosthodontics, M R Ambedkar Dental College and Hospital, Bangalore, Karnataka, India.

出版信息

Int J Biomed Sci. 2017 Mar;13(1):43-47.

PMID:28533736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5422644/
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.

摘要

患者

本报告描述了一名68岁女性患者的病例，该患者的主要诉求是因牙齿缺失导致咀嚼困难和美观不佳。患者希望保留剩余的天然牙齿，并希望修复体对组织的覆盖最小。在考虑了所有相关因素后，决定采用无腭板上颌套筒冠全口义齿和下颌可摘局部义齿。

讨论

考虑到患者的年龄和治疗费用，排除了种植支持式修复体作为该患者的治疗选择。选择套筒冠义齿作为一种有利的治疗选择，因为它克服了传统全口义齿带来的许多问题，如渐进性骨丢失、稳定性和固位性降低、牙周本体感觉丧失以及咀嚼效率低下。它还能提供最小的组织覆盖并更好地分散力。在治疗24小时、1周和1个月后对咬合、美观、语音和舒适度进行评估，结果显示患者对修复体满意，能够正常说话和咀嚼。

结论

与传统全口义齿相比，套筒冠覆盖义齿具有更好的固位和稳定性。它们提高了咀嚼效率、患者舒适度，还减少了牙槽骨吸收。因此，它们是传统全口义齿治疗的极佳替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/53056aee4585/IJBS-13-43-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/6aa552030e6a/IJBS-13-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/404d4061348d/IJBS-13-43-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/f202f63b8729/IJBS-13-43-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/94762d88f687/IJBS-13-43-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/986111ba1fe9/IJBS-13-43-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/c7cacfb0ab92/IJBS-13-43-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/677b6d75e041/IJBS-13-43-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/361278287b81/IJBS-13-43-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/53056aee4585/IJBS-13-43-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/6aa552030e6a/IJBS-13-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/404d4061348d/IJBS-13-43-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/f202f63b8729/IJBS-13-43-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/94762d88f687/IJBS-13-43-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/986111ba1fe9/IJBS-13-43-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/c7cacfb0ab92/IJBS-13-43-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/677b6d75e041/IJBS-13-43-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/361278287b81/IJBS-13-43-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0230/5422644/53056aee4585/IJBS-13-43-g009.jpg

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J Int Oral Health. 2015 Sep;7(9):143-7.
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Telescopic overdenture: Perio-prostho concern for advanced periodontitis.套筒冠覆盖义齿：晚期牙周炎的牙周-修复考量
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