A Prosthodontic Management of ridge defect with Telescopic Crown retained Cast Partial denture-A Case Report

Abstract

Implant retained fixed prosthesis has become contemporary choice for the replacement of natural teeth.      But all the patients cannot afford it. A small number of patients who can afford may have limitations like systemic diseases, or the anatomical considerations may contraindicate the dental implant options. So for that group of patient conventional methods of fabrication of the removable partial denture is a best treatment option. The telescopic crown retained cast partial denture treatment modality is sort of preventive prosthodontics remedy, which in a conservative manner preserve the remaining teeth and helps in conservation of alveolar bone ultimately. There are two tenets related to this option, one is constant conservation edentulous ridge around the retained tooth and the most important is the endless existence of periodontal sensory action that directs and monitor gnathodynamic task. In this option the primary coping or inner coping are cemented on the prepared tooth, and a similar removable outer or inner telescopic crown placed tightly by using a mechanism of tenso-friction, this is firmly attached to a removable RPD in place without moving or rocking of the prosthesis. The outer crown engages the inner coping and acts as an anchor for the remainder of the dentition. This work is the review of telescopic prosthesis which is well supported by the case discussion, and designates the utilization of favourable retained tooth/teeth as abutment that drastically minimized alveolar bone resorption beneath the prosthesis and give the maximum tactile sensation of natural teeth to the patient.