Letters to the editor

A 72-year-old male patient presented with the complaint of repeated debonding of acrylic resin teeth from his hybrid prostheses. He had been wearing this prostheses, supported by five implants in the maxilla and mandible each since the past five years. Despite multiple repairs, the patient continued to experience debonding issues. Clinical evaluation showed that the denture teeth were worn out and fractured and there was a loss of vertical dimension, poor occlusal contacts, and unfavourable aesthetics (Figure 1). To resolve the issue, the patient was presented with an option to replace the acrylic denture base component with high impact polymer composite (breCAM. HIPC, Bredent, Germany) supported on the existing titanium mesostructure.¹ The acrylic teeth were trimmed, wax occlusal rims were fabricated and modified to provide proper occlusal plane, lip, and cheek support. The final prostheses were made using a dental CAD software and a single piece restoration was milled from the breCAM.HIPC block. The gingival portion was layered with a pink composite resin. After trying the prostheses in the patient's mouth, the occlusal scheme and aesthetics were found to be acceptable. Following the insertion of prostheses, the patient was given instructions for maintaining their hygiene (Figure 2).