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A CASE REPORT
Department of Prosthodontics
Dr. D.Y. Patil Dental College And Hospital, Nerul, Navi Mumbai, India.
Dr. Rubina Tabassum Dr. Shetty Omkar Dr. Furia Vinit Chandrakant
Professor H.O.D P. G. Student
INTRODUCTION
Complete edentulism can substantially affect oral and general health as well
as overall quality of life.1-3 Patient satisfaction with dentures is influenced
by various factors including denture quality, the available denture bearing
area, the quality of dentistpatient interaction, previous experience with Preservation of alveolar bone is the main aim of
dentures, patients personality and psychologic well-being.4,5 Replacing the conventional tooth-retained overdenture. Preservation
lost tissues by means of complete dentures is challenging both for the dentist
of teeth for overdenture can improve retention and
and the patient.6 Nevertheless, some people do not succeed in acquiring new
skills with their dentures and thus suffer psychologically because of impaired
stability. In this case report, partial edentulous patient
function, comfort, self-image and social interaction. was treated with a tooth supported overdenture using
Access Post System. The final prosthesis was, well
Mandibular complete overdenture treatment is an effective and versatile
retained, stable and aesthetic, serving as a conservative
means of restoring missing teeth and improving facial contours and is
increasingly gaining popularity. As dentistry is experiencing a paradigm shift,
approach to root preservation.
in which mandibular implant overdenture treatment may become the new Keywords: Access Post System; Overdenture;
standard of care for the treatment of the edentulous mandible.Dentist are Retention; Stability.
looking for simplified treatments which are cost-effective alternatives to more
complex and expensive implant-prosthodontic procedures.7 Maintenance of
the residual alveolar bone is the most significant advantage of a tooth borne
CASE REPORT
overdenture as the bone volume and vertical height can help in increased
prosthetic retention and stability.It also gives patient better function and A 40 years old female patient reported to the department of Prosthodontics
control because of intact proprioception.7 at Dr. D.Y.Patil Dental College and Hospital with the chief complaint of all the
teeth missing in the upper arch and few remaining natural teeth in the lower
The shortened crown improves the crown-to-root ratio, thereby decreasing
arch along withdifficulty in chewing.
the mobility of the abutment teeth under an overdenture.In a 4-year-study,
Renner and his co-workers8 showed that 50% of roots, used as overdenture Clinical examination revealed completely edentulous maxillary arch and
abutments remained immobile. In addition, 25% of roots that were initially partially edentulous mandibular arch. Periodontal findings were significant
mobile became less mobile.The use of attachments can redirect occlusal with moderate amount of calculus and stains present along with gingival
forces away from weak supporting abutments and onto soft tissue.They act recession but no pocket formation. Teeth present in lower arch were 33 and
as shock absorbers as well as provides superior retention. Attachments are 43. Loss of teeth had occurred due to decay, mobility and lack of oral hygiene
often used in overdenture. This article reports a conservative approach of practice in earlier life. (FIG.1)
root preservation followed by replacement of missing teeth using Access post As remaining teeth were periodontally compromised, removable partial
attachment with mandibular overdenture.8 denture would not restore function and aesthetics to optimum function.