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DENTAL SCIENCE - CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 6  |  Page : 804-805  

A telescopic retainer prosthesis in full mouth rehabilitation


Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R University, Chennai, Tamil Nadu, India

Date of Submission28-Apr-2015
Date of Decision28-Apr-2015
Date of Acceptance22-May-2015
Date of Web Publication1-Sep-2015

Correspondence Address:
M Vijay Anand
Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R University, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-7406.163572

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   Abstract 

The use of questionable abutments has been made possible by modifying the design of the prosthesis. Telescopic retainers help to retain a prosthesis on a tilted and malaligned abutments.

Keywords: Copings, removable prosthesis, telescopic bridge, telescopic retainer


How to cite this article:
Kularashmi B S, Anand M V, Bettie NF, Ramachandiran H. A telescopic retainer prosthesis in full mouth rehabilitation. J Pharm Bioall Sci 2015;7, Suppl S2:804-5

How to cite this URL:
Kularashmi B S, Anand M V, Bettie NF, Ramachandiran H. A telescopic retainer prosthesis in full mouth rehabilitation. J Pharm Bioall Sci [serial online] 2015 [cited 2019 Aug 23];7, Suppl S2:804-5. Available from: http://www.jpbsonline.org/text.asp?2015/7/6/804/163572

A telescopic removable or fixed retainer prosthesis is a coping that fits over an abutment to support and retain a crown and bridge. [1] It may be an abutment for removable, fixed or over-denture. Telescopic crown or bridge is "an artificial crown constructed to fit over a coping, the coping can be another bar or any other suitable rigid support for the prosthesis." [2]


   Case Report Top


A 70-year-old patient reported with a complaint of missing teeth and difficulty in chewing. On extraoral examination, patient's profile was normal without loss of vertical dimension. Intraoral examination reveals completely edentulous upper arch and partially edentulous lower arch. Patient was unwilling for implant treatment. Fixed partial denture could not be done due lack of adequate abutments. Hence, support from the remaining teeth was obtained to fabricate a removable prosthesis [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5] and [Figure 6].
Figure 1: Coping over prepared tooth

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Figure 2: Coping with bar

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Figure 3: Jaw relation procedure

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Figure 4: Prosthesis to be attached over the bar

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Figure 5: Restored final prosthesis

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Figure 6: Telescopic retainer prosthesis

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   Discussion Top


The objective of replacing the missing teeth was to improve the esthetics and function of the patient. When only a few teeth are remaining, fixed partial denture would exert undue forces on the remaining teeth. In such clinical situations, it is mandatory to obtain support from the remaining few teeth and soft tissues. [3],[4] Replacing missing teeth in the above case appears to be simple yet technically demanding procedure. [5] Yalisove and Dietz [6],[7] described the versatility of telescopic retainer in restorative dentistry. Telescopic retainer has the following advantages, simple home care by removing the prosthesis, reducing lateral stress, retaining weak or compromised abutment, bilateral splinting, preventing teeth, and reducing alveolar bone loss. [8] Pezzoli et al. discussed local transmission in distal extension partial denture and found telescopic retainer to produce less stress in the edentulous region and transmitted loads more equally to the abutments. Yalisove and Dietz, [7] showed that in telescopic crown sleeve is coping restoration, the effective crown to root ratio is reduced at the point that the telescopic over crown rotates.

 
   References Top

1.
The glossary of prosthodontic terms. J Prosthet Dent 2005;94:10-92.  Back to cited text no. 1
    
2.
Freilich MA, Breeding LC, Keagle JG, Garnick JJ. Fixed partial dentures supported by periodontally compromised teeth. J Prosthet Dent 1991;65:607-11.  Back to cited text no. 2
    
3.
Yalisove IL, Dietz JR. Telescopic Prosthetic Therapy. Philadelphia: George F Stickley Co.; 1977. p. 11.  Back to cited text no. 3
    
4.
Nyman SR, Lang NP. Tooth mobility and the biological rationale for splinting teeth. Periodontol 2000 1994;4:15-22.  Back to cited text no. 4
    
5.
Lundgren D, Nyman S, Heiji L, Carlsson FE. Fundamental analysis of fixed bridges on abutment teeth with reduced periodontal support. J Clin Periodontal 1975;2:53-6.  Back to cited text no. 5
    
6.
Yalisove IL. Crown and sleeve-coping retainers for removable partial prosthesis. J Prosthet Dent 1966;16:1069-85.  Back to cited text no. 6
[PUBMED]    
7.
Yalisove IL, Dietz JB. Periodontal. Prosthesis fixed and removable. In: George F, editor. Telescopic Prosthetic Therapy. 1 st ed. Philadelphia: Stickley Co.; 1997. p. 7-15.  Back to cited text no. 7
    
8.
Laurell L, Lundgren D, Falk H, Hugoson A. Long-term prognosis of extensive polyunit cantilevered fixed partial dentures. J Prosthet Dent 1991;66:545-52.  Back to cited text no. 8
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6]



 

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