Strategic Use of Telescopic Retainers and Semi-rigid Precision Attachments in a Geriatric Patient: A Case Report
Identifieur interne : 000897 ( Pmc/Corpus ); précédent : 000896; suivant : 000898Strategic Use of Telescopic Retainers and Semi-rigid Precision Attachments in a Geriatric Patient: A Case Report
Auteurs : Bhavita Wadhwa ; Veena Jain ; Gunjan PruthiSource :
- The Journal of the Indian Prosthodontic Society [ 0972-4052 ] ; 2013.
Abstract
The rehabilitation of medically compromised elderly patients with long span partially edentulous arches has been a tremendous challenge for dentists. Proper dental management requires a commitment to provide the best treatment despite the compromised oral conditions. The aim of this paper is to describe the prosthetic rehabilitation of an elderly patient who presented with chief complaints of gagging sensation while using upper denture, loose upper and lower dentures and difficulty in eating food. Patient was rehabilitated using removable partial denture with semi-rigid attachments in the maxillary arch and telescopic prosthesis in the mandibular arch. Use of semi precision attachments helped in increasing the retentive ability of the maxillary prosthesis, even in the presence of only few abutments. Fabrication of a telescopic denture is a technique sensitive procedure but it offers advantages like bilateral splinting effect in long span partially edentulous arches, reduced effective crown–root ratio, maintenance of proprioception and transfer of forces along the long axis of the abutments. Although the management was complex but it improved patient’s esthetics, oral function and social confidence.
Url:
DOI: 10.1007/s13191-013-0302-6
PubMed: 26199522
PubMed Central: 4501977
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PMC:4501977Le document en format XML
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<series><title level="j">The Journal of the Indian Prosthodontic Society</title>
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<front><div type="abstract" xml:lang="en"><p>The rehabilitation of medically compromised elderly patients with long span partially edentulous arches has been a tremendous challenge for dentists. Proper dental management requires a commitment to provide the best treatment despite the compromised oral conditions. The aim of this paper is to describe the prosthetic rehabilitation of an elderly patient who presented with chief complaints of gagging sensation while using upper denture, loose upper and lower dentures and difficulty in eating food. Patient was rehabilitated using removable partial denture with semi-rigid attachments in the maxillary arch and telescopic prosthesis in the mandibular arch. Use of semi precision attachments helped in increasing the retentive ability of the maxillary prosthesis, even in the presence of only few abutments. Fabrication of a telescopic denture is a technique sensitive procedure but it offers advantages like bilateral splinting effect in long span partially edentulous arches, reduced effective crown–root ratio, maintenance of proprioception and transfer of forces along the long axis of the abutments. Although the management was complex but it improved patient’s esthetics, oral function and social confidence.</p>
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<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Indian Prosthodont Soc</journal-id>
<journal-id journal-id-type="iso-abbrev">J Indian Prosthodont Soc</journal-id>
<journal-title-group><journal-title>The Journal of the Indian Prosthodontic Society</journal-title>
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<issn pub-type="epub">1998-4057</issn>
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<publisher-loc>New Delhi</publisher-loc>
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<article-id pub-id-type="doi">10.1007/s13191-013-0302-6</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Report</subject>
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<title-group><article-title>Strategic Use of Telescopic Retainers and Semi-rigid Precision Attachments in a Geriatric Patient: A Case Report</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Wadhwa</surname>
<given-names>Bhavita</given-names>
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<address><phone>+91-9971465152</phone>
<email>drbhavitamds@gmail.com</email>
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<contrib contrib-type="author" corresp="yes"><name><surname>Jain</surname>
<given-names>Veena</given-names>
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<address><phone>+91-9868187441</phone>
<email>jainveena1@gmail.com</email>
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<contrib contrib-type="author"><name><surname>Pruthi</surname>
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<aff id="Aff1">Department of Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 29 India</aff>
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<pub-date pub-type="epub"><day>23</day>
<month>7</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2014</year>
</pub-date>
<volume>14</volume>
<issue>Suppl 1</issue>
<fpage>232</fpage>
<lpage>237</lpage>
<history><date date-type="received"><day>21</day>
<month>3</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>8</day>
<month>7</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>© Indian Prosthodontic Society 2013</copyright-statement>
</permissions>
<abstract id="Abs1"><p>The rehabilitation of medically compromised elderly patients with long span partially edentulous arches has been a tremendous challenge for dentists. Proper dental management requires a commitment to provide the best treatment despite the compromised oral conditions. The aim of this paper is to describe the prosthetic rehabilitation of an elderly patient who presented with chief complaints of gagging sensation while using upper denture, loose upper and lower dentures and difficulty in eating food. Patient was rehabilitated using removable partial denture with semi-rigid attachments in the maxillary arch and telescopic prosthesis in the mandibular arch. Use of semi precision attachments helped in increasing the retentive ability of the maxillary prosthesis, even in the presence of only few abutments. Fabrication of a telescopic denture is a technique sensitive procedure but it offers advantages like bilateral splinting effect in long span partially edentulous arches, reduced effective crown–root ratio, maintenance of proprioception and transfer of forces along the long axis of the abutments. Although the management was complex but it improved patient’s esthetics, oral function and social confidence.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Multiple missing teeth</kwd>
<kwd>Fixed removable prosthesis</kwd>
<kwd>Telescopic prosthesis</kwd>
<kwd>Semi-precision attachment</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Indian Prosthodontic Society 2014</meta-value>
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