International Journal of Dentistry Research 2017; 2(3): 64-67 DOI:10.31254/dentistry.2017.2302
Open-faced maxillary overdenture: A simplified approach for enhanced esthetics
Himanshi Aggarwal1 , Rani Ranabhatt2 , Niraj Mishra3 , Pradeep Kumar4 , Saumyendra Vikram Singh5
1. M.D.S., Senior Reearch Fellow, Department of Prosthodontics, Faculty of Dental Sciences, King George’s Medical University UP, Lucknow, Uttar Pradesh, India
2. M.D.S., Resident, Department of Prosthodontics, Faculty of Dental Sciences, King George’s Medical University UP, Lucknow, Uttar Pradesh, India
3. M.D.S, Associate Professor, Department of Prosthodontics, Faculty of Dental Sciences, King George’s Medical University UP, Lucknow, Uttar Pradesh, India
4. M.D.S., Senior Resident, Department of Prosthodontics, Faculty of Dental Sciences, King George’s Medical University UP, Lucknow, Uttar Pradesh, India
5. Professor Jr Gr., Department of Prosthodontics, Faculty of Dental Sciences, King George’s Medical University UP, Lucknow, Uttar Pradesh, India
*Author to whom correspondence should be addressed.
Received: 25th June, 2017 / Accepted: 24th September, 2015 / Published : 31st December, 2017
In partially edentulous patients, preservation of remaining teeth is of paramount importance. So, usually the remaining periodontally compromised teeth are preserved as overdenture abutments by reducing their coronal height. However, if this approach is adopted for anterior maxillary teeth, a prominent premaxillary segment poses challenges in terms of esthetics. This case report describes a modified approach for the management of a patient with extremely mutilated dentition having partially edentulous maxillary and mandibular arches. The maxillary anterior teeth were preserved as overdenture abutments resulting in prominent premaxilla, which was successfully rehabilitated using open faced denture that provided enhanced esthetics. Flangeless or open-faced denture exhibits promising results for rehabilitation of patients with prominent premaxilla without jeaopardising the peripheral seal along with superior esthetic outcome. It can serve as a valuable treatment modality as in cautiously selected cases.
Emergence profile, flangeless denture, Open faced maxillary overdenture, cast partial denture
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