Published online Oct 30, 2014.
https://doi.org/10.4047/jkap.2014.52.4.359
Periodontal prosthesis on medically compromised patient with few remaining teeth: hybrid telescopic double crown with friction pin method
Abstract
Successful results of treatments using double crown prostheses for the partially edentulous patients who have a few remaining teeth have been reported in several journals. A double crown removable partial denture can be an alternative treatment for the patients with a poor periodontal condition of remaining teeth. Since a double crown removable partial denture can be applied without the risk of surgical operation to the medically compromised patients with a poor periodontal condition which is inadequate for dental implants, it has psychological and economical advantages. In this case, there were sufficient remaining teeth to be restored with fixed prostheses in maxilla, while there were a few remaining teeth with a very poor periodontal condition so that it was almost impossible to restore with a clasp removable partial denture using these remaining teeth in mandible. In addition, the patient had the medical history of surgical operation due to osteomyelitis in the mandibular anterior areas a year ago, thus difficult to conduct an implant placement. The main objective of this report is to introduce our case because a double crown partial denture using a few mandibular remaining teeth showed satisfactory results in functional and esthetical aspects during more than two years follow-up period in this unfavorable condition.
Fig. 1
Initial intraoral photograph. (A) Right buccal view, (B) Frontal view, (C) Left buccal view.
Fig. 2
Initial panoramic radiograph.
Fig. 3
The preparation of stone cast for provisional restoration and wax-up procedure. (A, B) Right and left buccal view of the preparation of stone cast. (C, D) Right and left buccal view of the wax-up procedure.
Fig. 4
Tooth preparation with wax-up template. (A) Wax-up template sitting, (B) Maxillary tooth preparation, (C) Mandibular tooth preparation.
Fig. 5
Provisional restoration delivery.
Fig. 6
Inner crowns, Outer crown & Metal framework and Spark erosion procedure. (A) Inner crown, (B) Outer crown without major connector, (C) Spark erosion procedure. (D) Friction pin.
Fig. 7
Definitive restoration. (A) Right buccal view, (B) Frontal view, (C) Left buccal view.
Fig. 8
Final panoramic radiograph.
Fig. 9
Two-year follow-up panoramic radiograph & Intraoral photograph. (A) Panoramic radiograph, (B) Frontal view photograph.
This study was supported by academic reserch cost of Kyoungpook National University, Daegu, Republic of Korea (2013).
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