Sava K, Chronopoulos V,Orfanou A. Full mouth restoration in reduced periodontal support. A Case presentation. Contemp Dent 2007; 27: 160-176.
The restoration of patients with reduced periodontal
support is one of themost challenging scenarios
in contemporary clinical practice. This case
report addresses the problem of restoring a 38-
year-old patient with periodontally and endodontically
compromised dentition. One way to restore
and preserve a natural dentition severely affected
by periodontal disease or caries is by means
of fixed restorations which splint the remaining
abutment teeth rigidly, thus providing the individual
abutment teeth with a "group resistance" against
occlusal overloading.
Cemented telescopic restorations can be the treatment
of choice and combines several advantages,
such as:
-
Removal of the superstructure allows better periodontal
maintenance
- Better marginal fit of the primary copings prevents
abutments from caries and induce soft tissue
health
- The prosthesis can be repaired andmaintained
without need of replacing it even in the case of an
abutment loss.