23. TRANSITIONAL COMPLETE DENTURE IN TWO APPOINTMENTS – A CLINICAL CASE
D. Fetfova1*, M. Yankova2
Medical University – Sofia, Bulgaria
1Faculty of Dental Medicine
2Department of Prosthetic Dentistry, Faculty of Dental Medicine
*student
Transitional or intermediate denture is a kind of preliminary construction for the period of fabrication of the final prosthetic construction as a fast and effective solution with psychoprofilactical effect.
Aim: Presentation of a clinical case in which we use patient’s old prosthetic constructions – upper partial denture and a metal-ceramic bridge for fabricating transitional complete denture.
Material and methods: The patient G. D. 73-year-old, with a partial maxillary denture replacing the premolars and molars and a metal-ceramic bridge in the frontal area, visited The Faculty of Dental Medicine – Sofia, in a class of Clinic of Prosthetic Dentistry. Her complaint was not only about lack of stability of existing constructions, but also phonetic and mastication discomfort. Clinical examination revealed that the teeth supporting the bridge were extracted, and the denture was retained to the bridge by single-arm clasps. The bridge was standing at a distance from the alveolar ridge because of recent extraction of all anterior teeth. The healing period after the multiple extractions, was not enough for forming the alveolar ridge for a final prosthetic construction. During the fabrication of the permanent construction, a preliminary transitional denture was made as a temporary solution.
Results and discussion: The interim immediate denture allows not only effective function in harmony with preserved speech and appearance, but also maintainance of the muscle tone and occlusal vertical dimension.
Conclusion: The construction that we made had profilactical, functional, esthetic and psychoprofilactical, effect.
Keywords: immediate complete denture, transitional complete denture, intermediate complete denture