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Therapeutical attitudes in tooth supported overdentures with ball attachements. Case report

Identifieur interne : 001E71 ( Pmc/Curation ); précédent : 001E70; suivant : 001E72

Therapeutical attitudes in tooth supported overdentures with ball attachements. Case report

Auteurs : Am Ncu ; M. Melescanu Imre ; Ct Preoteasa ; E. Preoteasa

Source :

RBID : PMC:4813627

Abstract

Tooth supported overdenture with ball attachments has a number of advantages in prosthetics, but presents some difficulties as well, which sometimes make impossible the use of these anchoring systems; these difficulties should be well known. In this regard we present a suggestive case. It is the case of a patient, aged 57, who came for treatment, suffering from subtotal maxillary and mandibular edentulism (present 11 and 21, respectively 33 and 43), previously having an overdenture prosthesis on natural teeth, with special systems – ball attachment type, dissatisfied with the treatment (due to repeated fractures and functional intolerance to dentures). Clinical examination revealed an increase of the vertical dimension of occlusion and reduced prosthetic space at a correct, functional DVO value, aspects that were explaining the patient’s reported complaints. As a therapeutic approach, having into consideration the balance conditions that were favorable for complete dentures and the large ball attachments volume, which did not allow keeping them at a functional DVO at any of the jaws, and the relatively young age of the patient, it was decided to remove the ball attachments and to keep the teeth for a simple overdenture, both to the maxillar and the mandible, over coronary reduced teeth, enough to allow the denture thickness at a functional DVO. Good end result of prosthetics, with stable, functional dentures, which were well tolerated and offered satisfaction to the patient, have led to an increased quality of life.


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PubMed: 27057258
PubMed Central: 4813627

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Am Ncu
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy</nlm:aff>
<wicri:noCountry code="subfield">“Carol Davila” University of Medicine and Pharmacy</wicri:noCountry>
</affiliation>
M. Melescanu Imre
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy</nlm:aff>
<wicri:noCountry code="subfield">“Carol Davila” University of Medicine and Pharmacy</wicri:noCountry>
</affiliation>
Ct Preoteasa
<affiliation>
<nlm:aff id="A2">Department of Oral Diagnosis, Ergonomics, Scientific Research Methodology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy</nlm:aff>
<wicri:noCountry code="subfield">“Carol Davila” University of Medicine and Pharmacy</wicri:noCountry>
</affiliation>
E. Preoteasa
<affiliation>
<nlm:aff id="A1">Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy</nlm:aff>
<wicri:noCountry code="subfield">“Carol Davila” University of Medicine and Pharmacy</wicri:noCountry>
</affiliation>

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<p>Tooth supported overdenture with ball attachments has a number of advantages in prosthetics, but presents some difficulties as well, which sometimes make impossible the use of these anchoring systems; these difficulties should be well known. In this regard we present a suggestive case. It is the case of a patient, aged 57, who came for treatment, suffering from subtotal maxillary and mandibular edentulism (present 11 and 21, respectively 33 and 43), previously having an overdenture prosthesis on natural teeth, with special systems – ball attachment type, dissatisfied with the treatment (due to repeated fractures and functional intolerance to dentures). Clinical examination revealed an increase of the vertical dimension of occlusion and reduced prosthetic space at a correct, functional DVO value, aspects that were explaining the patient’s reported complaints. As a therapeutic approach, having into consideration the balance conditions that were favorable for complete dentures and the large ball attachments volume, which did not allow keeping them at a functional DVO at any of the jaws, and the relatively young age of the patient, it was decided to remove the ball attachments and to keep the teeth for a simple overdenture, both to the maxillar and the mandible, over coronary reduced teeth, enough to allow the denture thickness at a functional DVO. Good end result of prosthetics, with stable, functional dentures, which were well tolerated and offered satisfaction to the patient, have led to an increased quality of life.</p>
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<name sortKey="Preoteasa, E" uniqKey="Preoteasa E">E Preoteasa</name>
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<name sortKey=" Ncu, Am" uniqKey=" Ncu A">AM Țâncu</name>
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<name sortKey="Imre, M" uniqKey="Imre M">M Imre</name>
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<name sortKey="Lerner, H" uniqKey="Lerner H">H Lerner</name>
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<name sortKey="Preoteasa, Ct" uniqKey="Preoteasa C">CT Preoteasa</name>
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<name sortKey="Melescanu Imre, M" uniqKey="Melescanu Imre M">M Melescanu-Imre</name>
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<name sortKey="Preoteasa, Ct" uniqKey="Preoteasa C">CT Preoteasa</name>
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<journal-id journal-id-type="nlm-ta">J Med Life</journal-id>
<journal-id journal-id-type="iso-abbrev">J Med Life</journal-id>
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<article-title>Therapeutical attitudes in tooth supported overdentures with ball attachements. Case report </article-title>
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<name>
<surname>Țâncu</surname>
<given-names>AM</given-names>
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<xref ref-type="aff" rid="A1">*</xref>
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<name>
<surname>Melescanu Imre</surname>
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<xref ref-type="aff" rid="A1">*</xref>
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<name>
<surname>Preoteasa</surname>
<given-names>CT</given-names>
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<xref ref-type="aff" rid="A2">**</xref>
</contrib>
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<name>
<surname>Preoteasa</surname>
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<xref ref-type="aff" rid="A1">*</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>*</label>
Department of Prosthodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy</aff>
<aff id="A2">
<label>**</label>
Department of Oral Diagnosis, Ergonomics, Scientific Research Methodology, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy</aff>
<author-notes>
<corresp>
<bold>Correspondence to:</bold>
Marina Meleșcanu Imre, Senior Lecturer, DMD, PhD, e-mail: melim.marina@gmail.com Mobile Phone:0040722555960 </corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2014</year>
</pub-date>
<volume>7</volume>
<issue>Spec Iss 4</issue>
<fpage>95</fpage>
<lpage>98</lpage>
<permissions>
<copyright-statement>©Carol Davila University Press </copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Tooth supported overdenture with ball attachments has a number of advantages in prosthetics, but presents some difficulties as well, which sometimes make impossible the use of these anchoring systems; these difficulties should be well known. In this regard we present a suggestive case. It is the case of a patient, aged 57, who came for treatment, suffering from subtotal maxillary and mandibular edentulism (present 11 and 21, respectively 33 and 43), previously having an overdenture prosthesis on natural teeth, with special systems – ball attachment type, dissatisfied with the treatment (due to repeated fractures and functional intolerance to dentures). Clinical examination revealed an increase of the vertical dimension of occlusion and reduced prosthetic space at a correct, functional DVO value, aspects that were explaining the patient’s reported complaints. As a therapeutic approach, having into consideration the balance conditions that were favorable for complete dentures and the large ball attachments volume, which did not allow keeping them at a functional DVO at any of the jaws, and the relatively young age of the patient, it was decided to remove the ball attachments and to keep the teeth for a simple overdenture, both to the maxillar and the mandible, over coronary reduced teeth, enough to allow the denture thickness at a functional DVO. Good end result of prosthetics, with stable, functional dentures, which were well tolerated and offered satisfaction to the patient, have led to an increased quality of life.</p>
</abstract>
<kwd-group>
<kwd>overdenture</kwd>
<kwd>natural teeth</kwd>
<kwd>insufficient clinical examination</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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