Root-Retained Overdentures: Pushing the Boundaries of Clinical Practice “Four Clinical Case Reports”

Sara Ibrahim Soliman Mohamed¹, Soha Saeid Mohammed² and Yasmin Hamdy Abd El Hay Dawoud^2,

¹Lecturer of Oral and Maxillofacial prosthodontics, Faculty of Dentistry, Ain-shams University.

²Assistant Lecturer of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, Ain-shams University

Cite this paper

Sara Ibrahim Soliman Mohamed, Soha Saeid Mohammed and Yasmin Hamdy Abd El Hay Dawoud. Root-Retained Overdentures: Pushing the Boundaries of Clinical Practice “Four Clinical Case Reports”. American Journal of Medical Case Reports. 2023; 11(9):156-160. doi: 10.12691/AJMCR-11-9-2

Abstract

While the popularity of implant-retained overdentures has recently increased, root-retained overdentures have been predominantly disregarded. This case series presents four challenging cases restored successfully by attachment-retained complete and partial overdenture prostheses; employing an innovative intra-radicular attachment that could overcome the most common complications faced with the outdated versions. After diagnostic assessments, the OT reverse 3 attachment (OT reverse 3 overdenture post for roots, Rhein 83, Bologna. Italy) was selected fundamentally on the basis of the extremely reduced restorative space, dentures were simply constructed and fitted chairside. Patients expressed satisfaction with their prostheses regarding retention, stability, esthetics, functionality, and ease of insertion and removal; immediately after delivery and during the three-month follow-up. The attachment’s small size was found to fit perfectly the reduced space without denture over-contouring or encroachment on occlusion, and the attachment’s elastic functionality reduced the troubles faced due to the advanced ridge resorption and root’s divergence; through reducing stress transmission to abutments during the inevitable denture movements and during insertion and removal.

Keywords

Intraradicular precision attachments, tooth-supported overdenture, OT reverse 3 attachment, restorative space, root preparation.

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Matto, K.A., Yadav, L., and Rahman, S.U. “Immediate overdenture - a treatment option for bone preservation,” J. Med. Sci. Clin. Res., 3: 3879- 3882, 2015.
[2]	Singh, V., and Mattoo, K.A. “Oral Stereognosis pattern in patients with dental prosthesis in the elderly population,” Int. J. Clin. Exp. Physiol., 1:211- 215, 2014.
[3]	Schuch, C., de Moraes, A.P., Sarkis-Onofre, R., Pereira-Cenci, T., and Boscato, N. “An alternative method for the fabrication of a root-supported overdenture: a clinical report,” J. Prosthet. Dent., 109 (1): 1-4, 2013.
[4]	Mattoo, K.A., Singh, M., and Singh, S.P. “Precision retained partial denture - A proxy treatment option for full mouth rehabilitation,” Med. Res. Chron., 1(2): 144-149, 2014.
[5]	Renner, R.P., Gomes, B.C., Shakun, M.L., Baer, P.N., Davis, R.K., and Camp, P. “Four-year longitudinal study of the periodontal health status of overdenture patients,” J. Prosthet. Dent., 51(5): 593-598, 1984.
[6]	Epstein, D.D., Epstein, P.L., Cohen, B.I., and Pagnillo, M.K. “Comparison of the retentive properties of six prefabricated post-overdenture attachment systems,” J. Prosthet. Dent., 82: 579-584. 1999.
[7]	Preiskel, H.W. Overdenture made easy: a guide to implant and root supported prostheses. London: Quintessence Publishing Co Ltd, 1996.
[8]	Tuna, S.H., Kürkçüoğlu, I., and Kısacık, FÖ. “Management of a Challenging Prosthetic Case with the use of an Intraradicular Attachment: A Clinical Report,” J. Dent. & Oral. Disord., 1(1): 1003. 2015.
[9]	Auroy, P., and Lecerf, J. “Prosthetic restoration of the canine,” J Dentofacial Anom Ortho, 13: 112-132. 2010.
[10]	Attachments and pre-fabricated castable components, catalog/technical manual for dentists and dental technicians, Rhein 83, 12th edition, 2017. Available: https://www.rhein83.com/wpcontent/uploads/2018/11/Catalogo_ENG_2017_MOD_D122_REV_12-del-13-11-2017_WEB.pdf.