MANAGEMENT OF PARTIALLY EDENTULOUS PATIENT WITH FRICTION FIT REMOVABLE COMPLETE OVERDENTURE USING MILLED COPINGS: A CASE REPORT

Ajay Jain MDS, Sridevi Ugrappa MDS

Abstract


BACKGROUND: An overdenture is a removable prosthesis that is supported by a few retained teeth or teeth roots and or dental implants. In such
treatment modalities, natural teeth are retained under the denture base which preserves the alveolar ridge, provide sensory feedback and improve
the stability of the dentures. It is a versatile and successful means of achieving long-term restoration of partially edentulous arches. Furthermore,
the use of copings and precision attachments on the remaining teeth enhances the retention of the denture.
OBJECTIVE: The main objective of this clinical case report is to provide the exceptional fit of the overdenture prosthesis and to prevent midline
fracture by utilizing the concept of cold welding and metal reinforcement of the overdenture respectively.
CLINICAL CONSIDERATIONS: The endodontic therapy is performed on the remaining natural teeth, which provide support to the prosthesis,
meticulously to prevent need of retreatment in the future. The metal copings are precisely milled to achieve parallelism and to prevent any
interference in the path of insertion and removal. The main advantages of this technique are; patient can maintain good oral hygiene, excellent
retention and interference free placement of the prosthesis.
CONCLUSIONS: The present case report utilizes the concept of friction fit or cold welding of the metal reinforced overdenture prosthesis by
utilizing support of precision milled metal copings to provide excellent fit of the prosthesis.


Keywords


Cast Partial Denture, Metal Copings, Overdenture, Retained Tooth.

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