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A telescopic retainer prosthesis in full mouth rehabilitation

Identifieur interne : 000182 ( Pmc/Corpus ); précédent : 000181; suivant : 000183

A telescopic retainer prosthesis in full mouth rehabilitation

Auteurs : B. S. Kularashmi ; M. Vijay Anand ; Nirmal F. Bettie ; Hari Ramachandiran

Source :

RBID : PMC:4606717

Abstract

The use of questionable abutments has been made possible by modifying the design of the prosthesis. Telescopic retainers help to retain a prosthesis on a tilted and malaligned abutments.


Url:
DOI: 10.4103/0975-7406.163572
PubMed: 26538975
PubMed Central: 4606717

Links to Exploration step

PMC:4606717

Le document en format XML

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<nlm:aff id="aff1">Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R University, Chennai, Tamil Nadu, India</nlm:aff>
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<name sortKey="Anand, M Vijay" sort="Anand, M Vijay" uniqKey="Anand M" first="M. Vijay" last="Anand">M. Vijay Anand</name>
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<name sortKey="Bettie, Nirmal F" sort="Bettie, Nirmal F" uniqKey="Bettie N" first="Nirmal F." last="Bettie">Nirmal F. Bettie</name>
<affiliation>
<nlm:aff id="aff1">Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R University, Chennai, Tamil Nadu, India</nlm:aff>
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<name sortKey="Ramachandiran, Hari" sort="Ramachandiran, Hari" uniqKey="Ramachandiran H" first="Hari" last="Ramachandiran">Hari Ramachandiran</name>
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<nlm:aff id="aff1">Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R University, Chennai, Tamil Nadu, India</nlm:aff>
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<name sortKey="Bettie, Nirmal F" sort="Bettie, Nirmal F" uniqKey="Bettie N" first="Nirmal F." last="Bettie">Nirmal F. Bettie</name>
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<name sortKey="Ramachandiran, Hari" sort="Ramachandiran, Hari" uniqKey="Ramachandiran H" first="Hari" last="Ramachandiran">Hari Ramachandiran</name>
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<series>
<title level="j">Journal of Pharmacy & Bioallied Sciences</title>
<idno type="ISSN">0976-4879</idno>
<idno type="eISSN">0975-7406</idno>
<imprint>
<date when="2015">2015</date>
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<p>The use of questionable abutments has been made possible by modifying the design of the prosthesis. Telescopic retainers help to retain a prosthesis on a tilted and malaligned abutments.</p>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
<biblStruct></biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Freilich, Ma" uniqKey="Freilich M">MA Freilich</name>
</author>
<author>
<name sortKey="Breeding, Lc" uniqKey="Breeding L">LC Breeding</name>
</author>
<author>
<name sortKey="Keagle, Jg" uniqKey="Keagle J">JG Keagle</name>
</author>
<author>
<name sortKey="Garnick, Jj" uniqKey="Garnick J">JJ Garnick</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Yalisove, Il" uniqKey="Yalisove I">IL Yalisove</name>
</author>
<author>
<name sortKey="Dietz, Jr" uniqKey="Dietz J">JR Dietz</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Nyman, Sr" uniqKey="Nyman S">SR Nyman</name>
</author>
<author>
<name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Lundgren, D" uniqKey="Lundgren D">D Lundgren</name>
</author>
<author>
<name sortKey="Nyman, S" uniqKey="Nyman S">S Nyman</name>
</author>
<author>
<name sortKey="Heiji, L" uniqKey="Heiji L">L Heiji</name>
</author>
<author>
<name sortKey="Carlsson, Fe" uniqKey="Carlsson F">FE Carlsson</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Yalisove, Il" uniqKey="Yalisove I">IL Yalisove</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Yalisove, Il" uniqKey="Yalisove I">IL Yalisove</name>
</author>
<author>
<name sortKey="Dietz, Jb" uniqKey="Dietz J">JB Dietz</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Laurell, L" uniqKey="Laurell L">L Laurell</name>
</author>
<author>
<name sortKey="Lundgren, D" uniqKey="Lundgren D">D Lundgren</name>
</author>
<author>
<name sortKey="Falk, H" uniqKey="Falk H">H Falk</name>
</author>
<author>
<name sortKey="Hugoson, A" uniqKey="Hugoson A">A Hugoson</name>
</author>
</analytic>
</biblStruct>
</listBibl>
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<pmc article-type="case-report">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Pharm Bioallied Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J Pharm Bioallied Sci</journal-id>
<journal-id journal-id-type="publisher-id">JPBS</journal-id>
<journal-title-group>
<journal-title>Journal of Pharmacy & Bioallied Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">0976-4879</issn>
<issn pub-type="epub">0975-7406</issn>
<publisher>
<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26538975</article-id>
<article-id pub-id-type="pmc">4606717</article-id>
<article-id pub-id-type="publisher-id">JPBS-7-804</article-id>
<article-id pub-id-type="doi">10.4103/0975-7406.163572</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Dental Science - Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>A telescopic retainer prosthesis in full mouth rehabilitation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kularashmi</surname>
<given-names>B. S.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Anand</surname>
<given-names>M. Vijay</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bettie</surname>
<given-names>Nirmal F.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ramachandiran</surname>
<given-names>Hari</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R University, Chennai, Tamil Nadu, India</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
Dr. M. Vijay Anand, E-mail:
<email xlink:href="drvijayanand3@gmail.com">drvijayanand3@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2015</year>
</pub-date>
<volume>7</volume>
<issue>Suppl 2</issue>
<fpage>S804</fpage>
<lpage>S805</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>4</month>
<year>2015</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>4</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>5</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © Journal of Pharmacy and Bioallied Sciences</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms</license-p>
</license>
</permissions>
<abstract>
<p>The use of questionable abutments has been made possible by modifying the design of the prosthesis. Telescopic retainers help to retain a prosthesis on a tilted and malaligned abutments.</p>
</abstract>
<kwd-group>
<title>KEY WORDS</title>
<kwd>Copings</kwd>
<kwd>removable prosthesis</kwd>
<kwd>telescopic bridge</kwd>
<kwd>telescopic retainer</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<p>A telescopic removable or fixed retainer prosthesis is a coping that fits over an abutment to support and retain a crown and bridge.[
<xref rid="ref1" ref-type="bibr">1</xref>
] It may be an abutment for removable, fixed or over-denture. Telescopic crown or bridge is “an artificial crown constructed to fit over a coping, the coping can be another bar or any other suitable rigid support for the prosthesis.”[
<xref rid="ref2" ref-type="bibr">2</xref>
]</p>
<sec id="sec1-1">
<title>Case Report</title>
<p>A 70-year-old patient reported with a complaint of missing teeth and difficulty in chewing. On extraoral examination, patient's profile was normal without loss of vertical dimension. Intraoral examination reveals completely edentulous upper arch and partially edentulous lower arch. Patient was unwilling for implant treatment. Fixed partial denture could not be done due lack of adequate abutments. Hence, support from the remaining teeth was obtained to fabricate a removable prosthesis [Figures
<xref ref-type="fig" rid="F1">1</xref>
<xref ref-type="fig" rid="F6">6</xref>
].</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Coping over prepared tooth</p>
</caption>
<graphic xlink:href="JPBS-7-804-g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption>
<p>Coping with bar</p>
</caption>
<graphic xlink:href="JPBS-7-804-g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption>
<p>Jaw relation procedure</p>
</caption>
<graphic xlink:href="JPBS-7-804-g003"></graphic>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption>
<p>Prosthesis to be attached over the bar</p>
</caption>
<graphic xlink:href="JPBS-7-804-g004"></graphic>
</fig>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption>
<p>Restored final prosthesis</p>
</caption>
<graphic xlink:href="JPBS-7-804-g005"></graphic>
</fig>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption>
<p>Telescopic retainer prosthesis</p>
</caption>
<graphic xlink:href="JPBS-7-804-g006"></graphic>
</fig>
</sec>
<sec sec-type="discussion" id="sec1-2">
<title>Discussion</title>
<p>The objective of replacing the missing teeth was to improve the esthetics and function of the patient. When only a few teeth are remaining, fixed partial denture would exert undue forces on the remaining teeth. In such clinical situations, it is mandatory to obtain support from the remaining few teeth and soft tissues.[
<xref rid="ref3" ref-type="bibr">3</xref>
<xref rid="ref4" ref-type="bibr">4</xref>
] Replacing missing teeth in the above case appears to be simple yet technically demanding procedure.[
<xref rid="ref5" ref-type="bibr">5</xref>
] Yalisove and Dietz[
<xref rid="ref6" ref-type="bibr">6</xref>
<xref rid="ref7" ref-type="bibr">7</xref>
] described the versatility of telescopic retainer in restorative dentistry. Telescopic retainer has the following advantages, simple home care by removing the prosthesis, reducing lateral stress, retaining weak or compromised abutment, bilateral splinting, preventing teeth, and reducing alveolar bone loss.[
<xref rid="ref8" ref-type="bibr">8</xref>
] Pezzoli
<italic>et al.</italic>
discussed local transmission in distal extension partial denture and found telescopic retainer to produce less stress in the edentulous region and transmitted loads more equally to the abutments. Yalisove and Dietz,[
<xref rid="ref7" ref-type="bibr">7</xref>
] showed that in telescopic crown sleeve is coping restoration, the effective crown to root ratio is reduced at the point that the telescopic over crown rotates.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="supported-by">
<p>
<bold>Source of Support:</bold>
Nil</p>
</fn>
<fn fn-type="conflict">
<p>
<bold>Conflict of Interest:</bold>
None declared.</p>
</fn>
</fn-group>
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</pmc>
</record>

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