2016 Volume 8 Issue 4 Pages 438-441
Patient: The patient was a 54-year-old female with a chief complaint of occlusal pain on the abutment teeth of a cross-arch fixed prosthesis. The abutment teeth were extracted and the prosthesis was altered from a cross-arch fixed prosthesis to a removable prosthesis with the fabrication of a telescopic crown-retained denture.
Discussion: When altering from a cross-arch fixed prosthesis to a removable prosthesis, psychological discomfort for the patient is a concern due to the addition of a large connector placed across the palate. By using a telescopic crown-retained denture, we were able to fabricate a removable prosthesis which avoided discomfort caused by large connectors.
Conclusions: For this patient in need of altering from a cross-arch fixed prosthesis to a removable prosthesis after the extraction of an abutment tooth, prosthetic treatment with a telescopic crown-retained denture helped avoid psychological discomfort caused by large connectors leading to an improvement in the patient’s oral-related QOL.
