Professional Documents
Culture Documents
13 - Overdentures
13 - Overdentures
Introduction
History
Indications, contraindications
Periodontal considerations
Endodontic considerations
d. Remote overdentures
e. Crown-sleeve coping prosthesis
Denture problems
supported
complete
denture
is
dental
denture
abutments
because
of
position,
that
cannot
be
saved
by
periodontal
and
endodontical therapy.
Remaining natural teeth are adequate to restore dental
arch with fixed or removable partial dentures.
and
Collister
(1970)
said
that
periodontal
denture
wearers
there
is
impairment
of
the
DIAGNOSIS,
TREATMENT
Past
dental
experience,
influence
is
attitudes
motivation, expectation.
Reasons for loss of tooth
Pre treatment records
Photographs
Casts
Profile registrations
Cephalometric radiographs
Examination
Visual examination for any pathologic changes
Rigital examination
- Sharp mylohyoid ridges
- Exoteses
- Disposable tuberosity tissues
- Undercut areas
Dental examination
Any resin, caries, occlusion, denture space, habits
for
endodontic
treatment
successful
Endodonitc considerations
Endodontic treatment is a must for teeth with mobility
as the crown-root ration cannot improved.
The important to select abutment with the single root
canal.
One visit endodontic therapy that is usually followed,
increase of periapical infection it is contraindicated.
Endodontic implants
It is used to stabilize teeth with extremely short roots or
excessive
bone
loss.
Special
instruments
40mm
Contraindications
Periodontal pocket extends to the apex of involved
tooth.
Less than 2mm of bone support remains around the
root.
Anatomic structures like the maxillary sinus, mares,
mandibular canal and mental foramen cannot be avoided
by the implant.
When the tooth is included in such a manner that
implant would penetrate the cortical plate.
Overdentures for congenital and acquired defects
dentures
are
waxed
and
processed
in
the
conventional manner.
Transitional overdentures (Interim over denture)
It made from an existing removable partial denture, the
patients own teeth or both.
An existing removable partial denture is most common
indication for an interim over denture.
Procedure
Endodontic therapy is completed before modifying teeth
or the removable partial denture.
holes
in
the
crown
that
they
can
be
mechanically retained.
Cut off the stone teeth on the cast and relate the
removable partial denture to the cast add the necessary
teeth using the occlusal index by sprinkle on method.
Post insertion care
Oral hygiene instruction
Disadvantages
Border extension, esthetics, occlusion, support and
stability of removable partial denture are unsatisfactory
often many years of use.
Use autopolymer resin results in weaker over denture.
Immediate overdentures
An
immediate
over
denture
is
an
over
denture
procedures
extension,
frecnectomy,
of
overdentures
provides
excellent
Preparation of abutment
The incisal or occlusal surface of coping is convex
(Miller 1958).
Provides a rounded contact between coping and metal
base.
Endodontic,
periodontic
and
surgical
procedures
surface
of
canal
preparation
to
contour
rotational force.
The entrance of canal preparation is beveled to
eliminate sharp edges.
Wax patterns
Contour of coping is described as Hemispheric
rounded occlusally and incisally. Wax on occlusal surface
and incisal surface in copings are prepared with type III
gold.
Impressions (broader molding and rubber base) are
made with newly prepared coping.
Tooth selection and positioning
The resin teeth for the abutment are selected hollowed
with a bur and positioned over the abutments.
metal
base
cemented
to
the
cast
jined
dimensional
changes
associated
with
oral
hygiene
symptoms
of
severe
- Better
service
than
alternative
method
of
treatment.
- Useful in patient congenital abnormalities and
class III not amenable to surgical or orthodontic
procedure.
- Restore occlusion and improve esthetics by proper
positioning.
- Patient has few remaining teeth which adequately
supported by bone.
Simplicity of construction.
- Some conventional CP
Ease of maintenance
Stability comparable to fixed partial denture
Retention Because better stability
Open palate possible
Excellent patient acceptance Because knowledge that
he still has his own teeth.