Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol
Introduction: In the era of implant supported restorations, conventional complete denture (CD) for isolated edentulous maxilla still remains the first choice of treatment despite being its frequent mechanical failures. Statement of Problem: Edentulous maxillary arch restored with polymethyl methacry...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | The Journal of Indian Prosthodontic Society |
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| Online Access: | http://www.j-ips.org/article.asp?issn=0972-4052;year=2016;volume=16;issue=1;spage=15;epage=19;aulast=Bhandari |
| _version_ | 1811327155254067200 |
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| author | Sudhir Bhandari |
| author_facet | Sudhir Bhandari |
| author_sort | Sudhir Bhandari |
| collection | DOAJ |
| description | Introduction: In the era of implant supported restorations, conventional complete denture (CD) for isolated edentulous maxilla still remains the first choice of treatment despite being its frequent mechanical failures.
Statement of Problem: Edentulous maxillary arch restored with polymethyl methacrylate (PMMA) based CDs when opposed by natural and/or restored dentition is biomechanically and functionally a compromised rehabilitation.
Materials and Methods: Seven patients (4 males, 3 females) in the age range of 55–75 years were treated for their frequent fracture of the single maxillary denture. They were asked to rate their prosthodontic experience on a scale of 1–10. They were further inquired about the awareness of their clinical condition and knowledge on the alternative treatment options available to them, number of different dentists they have been treated by and frequency of their re-visits to the dental office after being edentulous.
Results: Removable PMMA based CD in maxilla was the first choice of treatment for all the restorative dentists who treated these patients. No attempt was ever made to treat the opposing dentition in any of the seven patients. Despite being under regular prosthodontic care for fabrication and repairs by as many as 23 dentists, none of the patients was aware of their clinical situation and the alternative treatment options available.
Conclusion: It is imperative that the restorative dentist be aware of the perils of such inter-arch relationships. Appropriate treatment done on time may avert a situation where the oral conditions become incompatible for the longevity of treatment done even with the aid of dental implants. |
| first_indexed | 2024-04-13T15:01:42Z |
| format | Article |
| id | doaj.art-eab2ecda67364424873ec26fb2ac565b |
| institution | Directory Open Access Journal |
| issn | 0972-4052 1998-4057 |
| language | English |
| last_indexed | 2024-04-13T15:01:42Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Journal of Indian Prosthodontic Society |
| spelling | doaj.art-eab2ecda67364424873ec26fb2ac565b2022-12-22T02:42:16ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572016-01-01161151910.4103/0972-4052.167941Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocolSudhir BhandariIntroduction: In the era of implant supported restorations, conventional complete denture (CD) for isolated edentulous maxilla still remains the first choice of treatment despite being its frequent mechanical failures. Statement of Problem: Edentulous maxillary arch restored with polymethyl methacrylate (PMMA) based CDs when opposed by natural and/or restored dentition is biomechanically and functionally a compromised rehabilitation. Materials and Methods: Seven patients (4 males, 3 females) in the age range of 55–75 years were treated for their frequent fracture of the single maxillary denture. They were asked to rate their prosthodontic experience on a scale of 1–10. They were further inquired about the awareness of their clinical condition and knowledge on the alternative treatment options available to them, number of different dentists they have been treated by and frequency of their re-visits to the dental office after being edentulous. Results: Removable PMMA based CD in maxilla was the first choice of treatment for all the restorative dentists who treated these patients. No attempt was ever made to treat the opposing dentition in any of the seven patients. Despite being under regular prosthodontic care for fabrication and repairs by as many as 23 dentists, none of the patients was aware of their clinical situation and the alternative treatment options available. Conclusion: It is imperative that the restorative dentist be aware of the perils of such inter-arch relationships. Appropriate treatment done on time may avert a situation where the oral conditions become incompatible for the longevity of treatment done even with the aid of dental implants.http://www.j-ips.org/article.asp?issn=0972-4052;year=2016;volume=16;issue=1;spage=15;epage=19;aulast=BhandariComplete denturedental implantsdenture baseedentulous maxillametal denture basemidline fracture |
| spellingShingle | Sudhir Bhandari Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol The Journal of Indian Prosthodontic Society Complete denture dental implants denture base edentulous maxilla metal denture base midline fracture |
| title | Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol |
| title_full | Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol |
| title_fullStr | Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol |
| title_full_unstemmed | Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol |
| title_short | Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol |
| title_sort | outcome of single maxillary complete dentures opposing mandibular teeth a need to introspect on the prosthodontic treatment protocol |
| topic | Complete denture dental implants denture base edentulous maxilla metal denture base midline fracture |
| url | http://www.j-ips.org/article.asp?issn=0972-4052;year=2016;volume=16;issue=1;spage=15;epage=19;aulast=Bhandari |
| work_keys_str_mv | AT sudhirbhandari outcomeofsinglemaxillarycompletedenturesopposingmandibularteethaneedtointrospectontheprosthodontictreatmentprotocol |