Fixed partial overdenture creative and conservative solution

Area of Science:

• Dentistry
• Prosthodontics
• Restorative Dentistry

Background:

• A patient presented with complex restorative needs involving the lower right first and second molars.
• A significant challenge was a retained, submerged lower right primary second molar with a stainless steel crown.

Observation:

• The submerged primary tooth disrupted the plane of occlusion, negatively affecting the bite.
• The adjacent permanent molars required full coverage restorations.

Findings:

• An unconventional, custom prosthesis was designed and fabricated.
• The prosthesis addressed the debilitated permanent teeth and the malocclusion caused by the submerged primary tooth.

Implications:

• This case highlights the importance of managing retained primary teeth and occlusal disturbances.
• Innovative prosthetic solutions can effectively restore function and occlusion in complex dental scenarios.