Swatantra Sorte Nandita, Mayya Arun
Prosthodontics and Crown and Bridge, A.B. Shetty Memorial Institute of Dental Sciences, NITTE (Deemed to be University), Mangalore, IND.
Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, IND.
Cureus. 2023 Feb 20;15(2):e35202. doi: 10.7759/cureus.35202. eCollection 2023 Feb.
The rehabilitation of a patient with multiple edentulous spaces, a collapsed occlusal vertical dimension, and compromised abutment teeth is demanding. For treating such patients, various approaches have been put forth over the years, with dental implants having the best results. However, they cannot be used on all patients due to their high cost and surgical limitations. Therefore, removable dentures are still a popular option. Telescopic removable dentures rest on the natural teeth, preserving the alveolar bone while providing good stability and support for the denture. The treatment goal was to establish normal form, function, and aesthetics to uplift the psychological status and maintain occlusal harmony in the patient. In this case report, a 45-year-old female patient who presented with many missing posterior teeth and a collapse in her vertical dimension received full mouth rehabilitation. The patient requested a maxillary denture with no visible metal clasps when smiling. Consequently, a conventional mandibular removable partial denture (RPD) and a cobalt-chromium maxillary telescopic denture were selected as the appropriate treatments. The final restored occlusion and appearance met the patient's satisfaction.
对一位有多颗无牙间隙、咬合垂直距离降低且基牙受损的患者进行修复治疗颇具挑战性。多年来,针对此类患者提出了各种治疗方法,其中种植牙效果最佳。然而,由于成本高昂和手术限制,并非所有患者都适用。因此,可摘义齿仍是一种常用选择。套筒冠可摘义齿依靠天然牙,在保留牙槽骨的同时为义齿提供良好的稳定性和支撑。治疗目标是建立正常的形态、功能和美观,提升患者心理状态并维持咬合和谐。在本病例报告中,一名45岁女性患者,有许多后牙缺失且垂直距离降低,接受了全口修复治疗。患者要求上颌义齿在微笑时看不到金属卡环。因此,选择了传统下颌可摘局部义齿(RPD)和钴铬合金上颌套筒冠义齿作为合适的治疗方案。最终修复后的咬合和外观达到了患者的满意。