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CASE REPORT COMPETITION
Year : 2018  |  Volume : 18  |  Issue : 5  |  Page : 40

CRC11: Modified telescopic overdenture as an alternative for hyperactive gag reflex patient


Date of Web Publication31-Oct-2018

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4052.244666

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How to cite this article:
. CRC11: Modified telescopic overdenture as an alternative for hyperactive gag reflex patient. J Indian Prosthodont Soc 2018;18, Suppl S1:40

How to cite this URL:
. CRC11: Modified telescopic overdenture as an alternative for hyperactive gag reflex patient. J Indian Prosthodont Soc [serial online] 2018 [cited 2018 Nov 20];18, Suppl S1:40. Available from: http://www.j-ips.org/text.asp?2018/18/5/40/244666



Kevin Christopher Kawilarang, Titik Ismiyati

Prosthodontics Department, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia

Introduction: Conventional maxillary denture with palatal portion coverage frequently cause discomfort, decreased speaking ability, taste perception, and often caused nausea especially in patients with hyperactive gag reflex. Furthermore, one commonly used as an alternative treatment is a telescopic overdenture. This system allows us to remove the palatal portion in which enable patient to talk easier, restore taste perception, and reduce gag reflex. This paper is aimed to describe the prosthetic rehabilitation of hyperactive gag reflex patient with modified telescopic overdenture.

Case Description: A 67-year-old male patient came with a chief complaint of discomfort denture especially on maxilla. He had conventional maxillary denture with palatal coverage. He felt nauseous and about to vomit every time he wore the denture.

Discussion: The preferred treatment of the maxilla is modified telescopic overdenture with reduced palatal portion and for the mandible is removable partial denture. Modified telescopic overdenture using conical primary telescopic copings on tooth 13 and 23 with 2° angulations, 6 mm height, and 0.7 mm thickness therefore the denture will have sufficient retention from the friction. First of all, we determined vertical dimensions and centric relations using red wax, and then mounted to the articulator to get the final view of denture thus it will guide operator in abutment's preparation and also guide dental laboratory to make telescopic copings, denture frame and arranged artificial teeth.

Conclusion: Modified telescopic overdenture has shown clear advantages particularly increasing comfort in patient with hyperactive gag reflex.






 

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