Twenty-year follow-up of prosthetic treatment - a case report
Assoc. Prof. Jolanta Loster1, Prof. Bartłomiej W. Loster2
1 Ortodoncja profesora Lostera, Kraków, Poland,
2 Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland
Introduction
Surviving deciduous teeth and permanent teeth impacted in the jawbone pose a problem both as an impairment of function but also treatment option. Prosthetic restorations made for a patient in his 20s need to be replaced after 20 years.
Case Description
A 43-year-old patient came in to replace prosthetic restorations that had been in use for 20 years. He used removable prosthetic restorations in both dental arches, in the form of overdentures. In the upper jaw - the dentures were supported on prosthetic crowns on teeth 16 and 26 and a vertical ball attachment on the root post in tooth 21. In the lower arch - the prosthesis were supported on telescopic crowns on teeth 34 and 35. Both dentures were mechanically damaged, and in addition, the ball attachments had lost retention.
Discussion
The treatment plan consisted of removal of surviving deciduous teeth. In upper arch crowns and ball attachment on the root post new one was made, and new overdenture as well. In lower arch - new denture on existing prosthetic telescopic crowns was made. Due to the presence of impacted permanent teeth in both jaws, there was no other treatment alternative.