Year : 2017

Volume : Volume 7

Issue : Issue 3

Address for correspondence :
Dr. Anirbit Ray.
anirbitray25@gmail.com

Abstract

Background:  Prosthodontic  rehabilitation of acquired defects of  the maxilla is a challenge in terms of reestablishing  oronasal separation .  Preservation of the remaining  hard and soft tissues in such patients is very much essential in order to have a good retention, stability and support for the prosthesis.  Telescopic  crowns have been an adjunctive utility to prosthetic dentistry since a very long time. The biomechanics of telescopic crowns aid in providing a good retention and stability to the prosthesis.  In the following clinical report a patient with a subtotal hemi maxillectomy is presented in whom telescopic copings were incorporated into the cast hollow flange obturator to enhance the retention and stability of the prosthesis.  With telescopic dentures, the insertion and removal is much easier for the patient. The aesthetic enhancement and functional rigidity provided by telescopic retainers are favourable features to many challenging clinical situations. Telescopic denture has the benefit of secure attachment and increased bearer confidence.

Keywords: Hollow  flange, Telescopic  denture, Telescopic  retainer, DMLS.