Department of Prosthodontics, K.L.E.S’ Institute of Dental Sciences, PREVENTIVE PROSTHODONTICS Dr.Kamal Shigli M.D.S. Professor Dr.Gangadhar S.A. M.D.S. Professor & Head Department of Prosthodontics, K.L.E.S’ Institute of Dental Sciences, Belgaum,Karnataka

INDIA'S ELDERLY POPULATION RISING !!!! Currently stands at roughly 8% Constantly on the rise Projected at 11.8% by 2015

Infancy – 18 yrs : Nutrition, POINTS TO BE STRESSED Infancy – 18 yrs : Nutrition, Brushing habits, Replacement of prematurely lost deciduous teeth, Access to fluoridated water. 18 - 30 yrs : Educate about periodic visits to dentist, Good health habits, Avoidance of stress.

30 - 50 yrs : Educate about freedom from stress, Oral maintenance, Adequate vitamin intake, Preservation of all possible teeth, Periodic checkups, Refitting of old prosthesis. Above 50 yrs : Happiness is a great therapy; its lack is an enemy to good physiology.

Overdenture is the treatment of choice Few teeth remaining ? Overdenture is the treatment of choice

CASE 1. Pre operative Treatment stages

Primary copings

Wax pattern for secondary copings

Secondary copings embedded in mandibular denture

Post-operative Pre-operative

CASE 2. Coping cemented

Overdenture in occlusion

Pre-operative Post-operative

CASE 3.

Panoramic radiograph showing submerged roots

Denture in Occlusion

Post-operative Pre-operative

Indications Few teeth remaining Congenital & acquired defects Immediate & interim dentures Implants

Contraindications High caries index Mentally and/or physically handicapped More clinical appointments

Advantages Proprioceptive feedback Preservation of alveolar bone Support Retention Psychological aspect Convertibility

Disadvantages Plaque retention Secondary caries Need for endodontics Cost Bulk of attachments & tissue undercuts Difficulty in achieving shade Encroachment of the interocclusal distance

Conclusion Asymptomatic roots can be submerged. Give a chance to the tooth to serve more. Asymptomatic roots can be submerged.

Never say 'NO' to Overdentures THANK YOU Never say 'NO' to Overdentures