Rehabilitation of missing teeth with severely tilted abutment tooth using telescopic bridge: A case report

Utari Kresnoadi 1, * and Darin Hulwani Rinaldi 2

1 Department of Prosthodontics, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
2 Resident, Department of Prosthodontics, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(01), 1494–1499
Article DOI: 10.30574/wjarr.2024.22.1.1169
 
Publication history: 
Received on 07 March 2024; revised on 17 April 2024; accepted on 20 April 2024
 
Abstract: 
Background: Prolonged missing teeth can cause the adjacent and or antagonist teeth to migrate towards the edentulous area which then complicate the rehabilitation process. From the patient perspective, it can also affect the functional and aesthetic aspect of their life. Hence, tooth loss whether in small or big number has to be replaced. Telescopic bridge defined as an artificial crown constructed to fit over a coping. It consists of inner and outer coping where the outer coping is cemented over the inner coping.
Objective: To rehabilitate posterior missing teeth with severely tilted abutment tooth by fabrication of telescopic bridge.
Case Report: A 55-year-old male patient came to prosthodontics specialty clinic at Universitas Airlangga Dental hospital on his volition with a chief complaint of replacement of missing one posterior tooth on both side of lower jaw as he has difficulty in chewing food and recurrence of food entrapment on the missing teeth area. The patient reported to have had missed his lower teeth since 5 years ago. The treatment chosen for this case was telescopic bridge fabrication. This treatment was conducted in order to correct the path of insertion of the prosthesis whilst give a satisfactory aesthetic and functional result.
Conclusion: Telescopic bridge can restore aesthetic and functional aspect of missing teeth with a severely tilted abutment tooth.
 
Keywords: 
Telescopic bridge; Double crown; Primary and secondary coping; Bridge; Aesthetic; Medicine
 
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