Baso, Maharani K.
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TELESCOPIC OVERDENTURE IN MANDIBULAR CLASS III KENNEDY Dammar, Irfan; Mude, Acing H.; Ikbal, Muhammad; Baso, Maharani K.
Journal of Case Reports in Dental Medicine Vol 2, No 1 (2020)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v2i1.114

Abstract

Objective: Overdenture with retained precision attachment helps in distribution of masticatory forces, minimize trauma to abutments and soft tissue, minimize the ridge resorption, improve the esthetics and maintain the proprioception. When it is difficult to find a suitable path of insertion because unparallel abutment teeth, telescopic crown indicated.Methods: A 66-years-old female patient visited Dental Hospital Hasanuddin University with mastication and aesthetic problems so that she wanted to make a denture. Patient had missing teeth as in 35 36 37 45 46 and 47, indicated for the fabrication of overdenture with telescopic crown in teeth 34 38 44 and 48. Fabrication of telescopic crown began by making of study model with preliminary bite record. Full crown preparation has done on teeth 34 38 44 and 48, and impression for fabrication of primer coping and metal framework with double impression technique. Primary coping has cemented on the abutment teeth, then reimpression. Secondary coping soldered with base metal framework denture was tried in the patient. Next, the determination of DVO, artificial teeth was arranged and tried to the patient, next processed the denture with acrylic and inserted it. Results: Precision attachment that used in this case is a telescopic crown, which consists of 2 types of crowns, the primary crown that is permanently attached to the supporting tooth, and the secondary crown attached to the denture. Conclusion: Many studies have done, and can concluded that telescopic overdenture is a unique and retentive type of prosthodontic treatment.
METAL BASE FOR MAXILLARY COMPLETE DENTURE Baso, Maharani K.; Ikbal, Muhammad; Dammar, Irfan; Mude, Acing H.
Journal of Case Reports in Dental Medicine Vol 2, No 1 (2020)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v2i1.112

Abstract

Objective: A successful denture should have dimensional stability in order to enhance chewing efficiency, increase patient?s comfort, and prevent injury to the oral tissue. However, fracture of acrylic denture base is occasionally an avoidable complication because the mechanical properties of acrylic resin may not be sufficient to withstand masticatory stress. This case report describes the step-by-step fabrication of a maxillary metal based complete dentureMethods: A 58-year-old female patient arrived at Dental Hospital Hasanuddin University with complaints of impaired appearance and difficulty chewing due to the loss of all maxillary and mandibular teeth. Previously, the patient had worn dentures twice. First, in 2012 using full maxillary dentures for 3 years. Second, in 2016 there were more dentures full of maxillary and mandibular prostheses because the denture before were broken. But, the dentures are rarely used because they are loose. The patient feels uncomfortable and wants to make dentures. The treatment stage: clinical and radiographic examination, preliminary and finally impression, manufacturing of maxillary metal bases, manufacturing of bite rim, determination of vertical dimensions, arranging the artificial teeth, try-in denture, insertion and control.Results: The treatment is the manufacture of a maxillary acrylic complete denture with a metal framework base and a acrylic complete denture for the mandibular, gived more comfortable and retentive.Conclusion: Metal bases for complete dentures has been used successfully and provide many advantages over the more commonly used acrylic resin. With metal bases in dentures, the patient benefits by having a more comfortable, better fitting and stronger prosthesis.