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Prosthodontic Rehabilitation of a Patient with an Anterior Fibrous Edentulous Maxilla opposed by a Partially Dentate Mandible

From Volume 51, Issue 9, October 2024 | Pages 636-642

Authors

LKN Premathilaka

BDS,

MD in Restorative Dentistry, Senior Registrar in Restorative Dentistry, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka

Articles by LKN Premathilaka

Email LKN Premathilaka

S Vasantha

BDS,

MS in Restorative Dentistry, Consultant in Restorative Dentistry, National Dental Teaching Hospital, Sri Lanka

Articles by S Vasantha

Abstract

Tooth loss may affect the dietary patterns, phonetics, appearance, and lifestyle of affected individuals. Therefore, patients require the replacement of missing teeth to allow adequate function, appearance, and psychological wellbeing. However, the replacement of missing teeth in patients at the transitional stage from the natural to the artificial dentition can pose a significant challenge to a clinician. This case describes the management of a patient with an ill-fitting upper complete denture, which rested on an anterior fibrous edentulous maxilla, opposing a partially dentate mandible.

CPD/Clinical Relevance: Selection of the optimum treatment option available to manage a patient with an anterior fibrous edentulous maxilla opposed by a partially dentate mandible is important.

Article

Owing to improved health care and increased oral health awareness, patients increasingly wish to function with their natural teeth as long as possible. Tooth loss may affect a patient's dietary pattern, appearance, and lifestyle. Therefore, patients seek to replace missing teeth to improve function, appearance, and psychological wellbeing.

Replacement of missing teeth in patients at the transitional stage from the failing natural dentition to the fully prosthetic dentition can be challenging. Tooth-supported overdentures have been proposed when there are a few teeth or roots available, and when these are not possible, implant-supported overdentures have been proposed as the ‘standard of care’.1,2 However, prior to the extraction of the last remaining teeth, both of these treatment options remain available and the use of natural teeth as overdenture abutments offers a less expensive alternative than an implant-supported prosthesis.1

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