A simplified approach to mandibular tooth-borne overlay denture: a case report

Shri Sahany Srinivasan; Sai Sadan Duraisamy; Dhanasekar Balakrishnan

doi:10.18203/2394-6040.ijcmph20262760

Authors

Shri Sahany Srinivasan Department of Prosthodontics, JKKN Dental College and Hospital, Namakkal, Tamil Nadu, India
Sai Sadan Duraisamy Department of Prosthodontics, JKKN Dental College and Hospital, Namakkal, Tamil Nadu, India
Dhanasekar Balakrishnan Department of Prosthodontics, JKKN Dental College and Hospital, Namakkal, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20262760

Keywords:

Tooth-supported overdenture, Primary copings, Bite force, Abutment teeth

Abstract

Tooth supported overdentures are considered as a viable treatment option for patients with very few retained teeth. The presence of 2 to 4 remaining natural teeth bilaterally spread, are considered ideal option for a tooth supported overdenture. Tooth supported overdentures have varied advantages such as minimally invasive, cost effective and better proprioception compared to implant supported over-dentures. This case study elaborates the clinical steps in the fabrication of a tooth supported mandibular overlay denture for a 71-year-old patient with a completely edentulous upper arch and only the premolars remaining in the lower arch. In spite of the varied modes of retention such as mechanical and magnetic, a frictional mode of retention is chosen in this case.

References

Layton DM, Morgano SM, Muller F, Kelly JA, Nguyen CT, Scherrer SS, et al. The Glossary of Prosthodontic Terms 2023: Tenth Edition. J Prosthet Dent. 2023;130(4 Suppl 1):e1-e126.

Leong JZ, Beh YH, Ho TK. Tooth-supported overdentures revisited. Cureus. 2024;16(1):12-6.

Aguirre A. Systemic factors in dental implant therapy: insights from the literature. Rev Estomatol. 2024;32(2):256-8.

Elsyad MA, Hegazy SAF, Hammouda NI, Al-Tonbary GY, Habib AA. Chewing efficiency and electromyographic activity of masseter muscle with three designs of implant-supported mandibular overdentures: a cross-over study. Clin Oral Implants Res. 2014;25(6):742-8.

Sagheb K, Wentaschek S, Bjelopavlovic M, Berres M, Díaz L, Fan S, et al. Evaluation of masticatory efficiency and OHRQoL in implant-retained overdenture with different numbers of implant in the edentulous mandible: a one-year follow-up prospective study. Int J Implant Dent. 2024;10:12.

Dey S, Dudhani SI, Chhaya D, Devi SS, Sharma MS, Shetty RR, et al. Assessment of bite pressure differences between implant-supported prostheses and natural dentition. Bioinformation. 2025;21(8):2581-5.

Ettinger RL, Marchini L, Childs CA. Are Root-Supported Overdentures Still an Alternative to Implant-Supported Overdentures? A Scoping Review. Gerodontology. 2022;39(3):319-29.

Subahi RH, Al Sultan NA, Hafiz RA, Alasmari AH, Almahdi SH, Al Harbi AO, et al. An overview of implant overdenture attachment systems. Int J Community Med Public Health. 2023;10(12):5014–20.

Pradeep Raja BT, Manoharan PS, Rajkumar E. Tooth-supported attachment-retained overdenture: forgotten concept revisited—a case report. SRM J Res Dent Sci. 2021;12(3):177-80.

DeVan MM. Biological demands of complete dentures. J Am Dent Assoc. 1952;45(5):524-7.