A Fixed Telescopic Prosthesis Designed to Retrieve and Convert to Fixed-Removable Combination Case: A Clinical Report

Area of Science:

• Dentistry
• Prosthodontics
• Periodontology

Background:

• Periodontally compromised dentition presents complex restorative challenges.
• Uncontrolled diabetes exacerbates periodontal disease, increasing treatment complexity.
• Telescopic prostheses offer a solution for retaining teeth with compromised periodontal support.

Purpose of the Study:

• To describe the clinical application of a fixed maxillary telescopic dental prosthesis (FTDP) in a periodontally compromised patient with uncontrolled diabetes.
• To highlight the design features enabling future conversion to a fixed-removable prosthesis.
• To present the prosthetic rehabilitation of the mandible with a conventional fixed ceramo-metal prosthesis.

Main Methods:

• Fabrication of a maxillary FTDP using milled base metal copings and a composite resin-veneered metal superstructure.
• Incorporation of occlusal rest seats in the maxillary framework for potential future conversion.
• Restoration of the mandible with a conventional fixed ceramo-metal dental prosthesis.

Main Results:

• Successful fabrication and placement of the described prosthetic solutions.
• The maxillary FTDP provided a stable and functional restoration.
• The design facilitated a strategic approach for potential future modifications.

Conclusions:

• A fixed maxillary telescopic dental prosthesis is a viable treatment option for periodontally compromised patients, even with uncontrolled diabetes.
• Proactive design considerations can enhance the long-term adaptability of dental prostheses.
• Comprehensive prosthetic management is crucial for complex dental cases.