J Interdiscip Dentistry
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Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 39-43

Occlusal rehabilitation of a geriatric patient with multiple failed fixed prostheses: A clinical report

Department of Prosthodontics, Nair Hospital Dental College, Mumbai, Maharashtra, India

Correspondence Address:
Ravindra S Pawar
Department of Prosthodontics, Nair Hospital Dental College, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5194.188170

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Commonly observed complications or clinical failures related to fixed dental prostheses (FDPs) include inferior esthetics, loss of retention, loss of tooth vitality due to secondary caries, periodontal disease, tooth fracture, and prosthesis fracture. While treatment of such complications is usually more demanding for the operator, psychological reassurance to the patient is an integral and often the foremost part of the retreatment procedure. This clinical report describes occlusal rehabilitation of a geriatric patient presented with multiple failed FDPs. Endodontic retreatment of abutments and meticulously designed ceramometal FDPs resulted in alleviation of dental pain, improvement in esthetics, gingival health, and enhanced masticatory efficiency while no complaints were reported during 1-year follow-up period. Clinical Relevance to Interdisciplinary Dentistry Complete mouth rehabilitation of a patient with previously failed prostheses often requires an interdisciplinary approach. In this patient, functional, esthetic, biological and restorative goals were defined before starting the treatment. Careful intraoral examination and radiographic analysis, occlusal analysis by mounting diagnostic casts on semi adjustable articulator, patient counselling to understand their expectations from treatment, and diagnostic wax up procedures, to determine approximate protocol of the treatment were performed. Satisfactory gingival health, esthetics, and function were reported at end of treatment and subsequent recall visits.

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