The document discusses overdentures, which are complete or partial dentures constructed over existing teeth, roots, or implants to provide additional support, stability, and retention. It describes different types of overdentures, including tooth-supported and implant-supported overdentures. Various techniques for preparing teeth to serve as abutments for overdentures are presented, such as submerging roots or using dome-shaped abutments with cast copings. Attachment systems that can be incorporated into overdentures are also outlined.
The document discusses overdentures, which are complete or partial dentures constructed over existing teeth, roots, or implants to provide additional support, stability, and retention. It describes different types of overdentures, including tooth-supported and implant-supported overdentures. Various techniques for preparing teeth to serve as abutments for overdentures are presented, such as submerging roots or using dome-shaped abutments with cast copings. Attachment systems that can be incorporated into overdentures are also outlined.
The document discusses overdentures, which are complete or partial dentures constructed over existing teeth, roots, or implants to provide additional support, stability, and retention. It describes different types of overdentures, including tooth-supported and implant-supported overdentures. Various techniques for preparing teeth to serve as abutments for overdentures are presented, such as submerging roots or using dome-shaped abutments with cast copings. Attachment systems that can be incorporated into overdentures are also outlined.
The document discusses overdentures, which are complete or partial dentures constructed over existing teeth, roots, or implants to provide additional support, stability, and retention. It describes different types of overdentures, including tooth-supported and implant-supported overdentures. Various techniques for preparing teeth to serve as abutments for overdentures are presented, such as submerging roots or using dome-shaped abutments with cast copings. Attachment systems that can be incorporated into overdentures are also outlined.
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Prof. Dr.
Ahlam El-Sharkawy
Introduction Extraction of teeth followed by continuous ridge resorption & poor denture foundation Loss of periodontal receptors responsible for proper masticatory function & accurate jaw movements
Retention of few remaining teeth to support denture will preserve alveolar bone & preserve periodontal receptors
Definition of overdentures Complete or partial denture constructed over existing teeth, roots or implants for providing additional support, stability & retention
Called also: Overlay denture Overlay prosthesis Superimposed prosthesis
Cases having few hopeless teeth unsuitable as abutments for fixed or removable bridges Patient having few remaining teeth with periodontal disease. Patient with abnormal jaw size or position Patient with congenital or acquired defects Patient with single denture Patient exhibit flat ridges Prof. Dr. Ahlam El-Sharkawy
Contraindications Mentally or physically handicapped 2. Patient cant be motivated to develop good oral hygiene 3. Inadequate intermaxillary space 4. Teeth with grade III mobility or insufficient zone of attached gingiva 1.
1- submerged roots Abutments roots are endodontically treated .
Reduced in height to a level below gingival margin
2- dome shaped abutment with amalgam plug mmmmmm
Abutments reduced to be 1-2 mm above gingival margin to reduce lateral force & torque Endodontic treatment is necessary The root canal is filled with gutta percha The opening is sealed with amalgam plug.
The abutment is contoured to attain dome- shape. Used in patient with low caries index &good oral hygien.
3- dome shaped abutments with cast copings
Abutment are endodontically treated & reduced to 1-2 mm above gingival margin Metal dome shaped cast coping constructed to cover abutment
The metal coping has a short post cemented into root canal to retain the coping
4- abutments with telescopic crowns
Abutment teeth are either vital or endodontically treated & contoured to tapered configuration Tapered metal copings constructed &cemented over abutments
Denture constructed with metal crowns having veneered facings
5- abutments with slight tooth reduction & cast copings
Abutments are minimally reduced With or without endo treatment
Covered with cast metal coping long coping abutment. This type is rarely followed because it requires adequate ridge space
6- abutments with simple reduction & slight modification
Abutments slightly reduced & contoured to eliminate undercuts Rarely used, cases with partial anodontia or enough inter ridge space
7- abutments with an added form of attachment
Endodontically treated, reduced & covered with metal coping Coping has a long post to help retention Attachment added either by soldering or during wax pattern
Types of tooth supported Over-dentures
1.
Immediate over-denture
2. Interim over-denture
3. Remote or definitive over-denture
4. Attachment retained over-denture
Immediate overdenture Constructed prior to preparation of abutment teeth & ready for insertion after preparation& reduction It enhances patients ability & adaptability to wear dentures
Interim overdenture Used for patients in transition or preparation phase until permanent overdenture constructed Patient old partial denture can be modified & used by extending the denture & add new artificial teeth using self cure acrylic resin
Remote or definitive over-denture
Conventional complete over-denture constructed over 1 or more abutment teeth Could be made entirely of acrylic resin or in conjunction with metal bases
Attachment retained over-denture
Constructed with an incorporated attachment to improve retention More expensive & more time for construction Indicated for patient with good oral hygiene & low caries index The abutment teeth should have good periodontal condition & adequate bone support
Types of Attachments a) Rigid attachment
Doesnt allow movement of denture base Provide adequate retention May induce more torque on abutment b) Resilient attachment Allows some control of movements. Induces less torque on abutments.
Over-Denture Attachment could be in the form of:
1- Stud Attachments.
2- Bar attachments.
3 Magnetic Attachments.
1- Stud attachment Consists of 2 parts
The stud usually attached to metal coping cemented over prepared abutment Housing embedded in the fitting surface of overdenture
1- Stud attachment Extra-Radicular : The stud is attached to the metal coping cemented over the prepared abutment, while the housing is embedded in the fitting surface of the denture. e.g : Ceka , Rotherman, Gerber
1- Stud attachment B- Intra-Radicular: The stud is attached to the fitting surface of the denture and the housing is incorporated in the abutment. e.g : Zest Anchor eg
2-Bar attachment A bar contoured to connect abutment teeth together , run parallel & overlie residual ridge Provide support & retention for overdenture & splint abutment teeth
Bars may be in form of preformed metal or plastic
A- Bar units Rigidly fixed to copings, dont allow any movement between bar & sleeve Transmits occlusal stresses totally to abutments tooth born
B- Bar joints Resilient attachments allowing movement between bar & sleeve Support provided by both residual ridge & abutment teeth tooth tissue born
3- magnetic attachments Small, strong mini magnets
One of poles cemented in a prepared cavity in endodontically treated abutment & the other attached to denture base
