RESUMO
Reorganization of an occlusion in a mutilated dentition is the most challenging task which is ever faced by prosthodontists. An occlusal rehabilitation, though it is common, is the most complex treatment procedure which is widely practised in treating severely worn out dentitions, developmental anomalies, acquired defects, ill fitting, long span fixed partial dentures and TMJ disorders. Various factors such as vertical dimension of occlusion, centric relation, occlusal contact pattern, aesthetics and phonetics need to be considered simultaneously for both anterior and posterior teeth during occlusal rehabilitations. Different schools of thoughts have been documented for rehabilitation of such cases and the choice of the treatment plan depends on the skill and experience of the clinician. This clinical report describes the full mouth rehabilitation of a severely worn out dentition, in functional harmony with the stomatognathic system. Hobo's Twin-stage procedure was adopted to produce a definite amount of disocclusion during eccentric movements.
RESUMO
The most common site of fracture in a maxillary or a mandibular complete denture is along an anteroposterior line that coincides with the labial notch in in the denture which used to provide the frenum relief. Osseointegrated implants have been a boon to the patients who are completelly edentulous and are not satisfied with the conventional removable complete denture approach.Implant supported dentures have proven to provide superior retention and support for removable complete dentures. Nevertheless, fracture of the denture bases is a common complication of implant-supported mandibular overlay dentures,ecspecially when the artificial denture is opposing natural dentition. This article describes and illustrates a method of reinforcing implant-supported mandibular overdentures to overcome this problem.
