title: Strategic Use of Telescopic Retainers and Semi-rigid Precision Attachments in a Geriatric Patient: A Case Report.
abstract: The rehabilitation of medically compromised elderly patients with long span partially edentulous arches has been a tremendous challenge for dentists. Proper dental management requires a commitment to provide the best treatment despite the compromised oral conditions. The aim of this paper is to describe the prosthetic rehabilitation of an elderly patient who presented with chief complaints of gagging sensation while using upper denture, loose upper and lower dentures and difficulty in eating food. Patient was rehabilitated using removable partial denture with semi-rigid attachments in the maxillary arch and telescopic prosthesis in the mandibular arch. Use of semi precision attachments helped in increasing the retentive ability of the maxillary prosthesis, even in the presence of only few abutments. Fabrication of a telescopic denture is a technique sensitive procedure but it offers advantages like bilateral splinting effect in long span partially edentulous arches, reduced effective crown-root ratio, maintenance of proprioception and transfer of forces along the long axis of the abutments. Although the management was complex but it improved patient's esthetics, oral function and social confidence.
authors.affiliation: Department of Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 29 India.
authors.forename: Bhavita
authors.initials: B
authors.lastname: Wadhwa
authors.affiliation: Department of Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 29 India.
authors.forename: Veena
authors.initials: V
authors.lastname: Jain
authors.affiliation: Department of Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, 29 India.
authors.forename: Gunjan
authors.initials: G
authors.lastname: Pruthi
keywords: Fixed removable prosthesis; Multiple missing teeth; Semi-precision attachment; Telescopic prosthesis