Root-retained overdentures as the first choice in the rehabilitation of partially edentulous patients: case report / Sobredentadura sobre raízes como primeira escolha na reabilitação de pacientes parcialmente edêntulos: relato de caso

• Autor(a) principal: Rosanese, Bruna Cánovas
• Data de Publicação: 2022
• Outros Autores: Ribeiro, Adriana Barbosa, da Silva, Cláudia Helena Lovato
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Veras
• DOI: 10.34117/bjdv8n4-165
• Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/46265

This case report aimed to describe the oral rehabilitation after the loss of multiple dental elements due to chronic periodontal involvement, with complaints of aesthetics, and loss of masticatory function. The patient, CRT, to 55 years old, presented, in maxillary, dental elements 13 and 23, horizontal bone loss and 1/3 of the roots' bone insertion. In the lower arch, the dental elements presents were 45, 44, 31, 32, 33, 34, and 35. Among these, the teeth 44, 33, 34, and 35 showing no loss of protective and support tissue, while teeth 45, 31, and 32 had more than half of the lost support bone and dental extrusion. Therefore, a complete upper denture and an overdenture were made with additional retention utilizing spherical retainers (o'rings) installed in the dental roots. The treatment involved a multidisciplinary approach with indication the support periodontal, endodontic, oral and maxillofacial surgery, and prosthesis. Despite the lack of support tissue, the patient reported excellent retention and stability of new dentures. Mandibular overdenture with additional retention on roots provide greater retention to the complete dentures, returning aesthetics, function, and comfort to the patient, and should be considered as the first rehabilitation option in several clinical cases, especially when there are clinical, individual, and socioeconomic conditions related to patients who cannot install osseointegrated implants.