Management of Severe Mandibular Posterior Ridge Atrophy Using Tooth-Supported Telescopic Complete Denture: A Clinical Report
DOI:
https://doi.org/10.22270/ajdhs.v5i2.132Keywords:
telescopic, overdenture, double crown, ridge atrophyAbstract
Severe residual ridge resorption poses a significant challenge in prosthodontic rehabilitation, especially in partially edentulous patients with compromised anatomical support. Conventional removable dentures often fail to provide sufficient retention and stability in such cases. Telescopic dentures offer a conservative and effective solution, particularly for the elderly, to avoid surgery. Double crowns, which consist of primary copings cemented to abutment teeth and secondary crowns incorporated into the denture, will create passive friction for mechanical retention to enhance load distribution, stabilize abutment teeth, and preserve natural dentition. Telescopic dentures are adaptable over time and provide improved comfort, esthetics, and patient confidence. This clinical report presents a 70-year-old male patient with severe ridge resorption in the bilateral posterior mandible, characterized by extremely shallow retromylohyoid areas. Successful rehabilitation was achieved using a mandibular telescopic complete denture, demonstrating the value of conservative prosthodontic planning.
Keywords: overdenture, telescopic, double crown, ridge atrophy.
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Copyright (c) 2025 Mefina Kuntjoro , Utari Kresnoadi , Karina Mundiratri , Abil Kurdi , Bambang Agustono , Merina Dwi Pangastuti
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