Management of a Complex Case using Conventional Complete Denture Restorations

Case Report

Austin J Dent. 2016; 3(3): 1038.

Management of a Complex Case using Conventional Complete Denture Restorations

Păuna M*, Babiuc I and Farcasiu AT

Department of Removable Prosthodontics, Carol Davila University of Medicine and Pharmacy, Romania

*Corresponding author: Mihaela Pauna, Department of Removable Prosthodontics, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

Received: May 07, 2016; Accepted: July 11, 2016; Published: July 13, 2016


Clinical experience has demonstrated that in complete edentulous patients, more than in other areas of prosthetics, particularities of the case play an important role. The prosthodontic treatment must provide restorations that are bio-functional and bio-prophylactic for the surrounding tissues. In this aim, an edentulous patient must be submitted to a methodical clinical examination in order to establish the degree of difficulty of the prosthetic treatment. Additional investigation as cephalometric radiographs can be useful. In our daily practice, we are rarely confronted with a normal morphology of the denture bearing oral structures. Managing abused tissues in a patient with morphologic abnormalities due to faulty prostheses sometimes proves difficult. Preventing the deterioration of oral status must be a condition in providing a chance for the success of the following rehabilitations, mainly in the situation when the complete edentulousness appears in a young or middle age patient.

This article is a clinical report on the prosthodontic management of a severe mandibular atrophy with a particular conformation of the alveolar crest correlated with the necessity of a maxillary immediate complete denture in a patient with dramatic perturbation of esthetics.

Keywords: Mandibular particular conformation; Maxillary-mandibular relationship; Conventional complete dentures


The success of conventional complete denture therapy can be evaluated based on some prognostic indicators. The fabrication of technically correct dentures, a favorable conformation of the mandibular crest and the accuracy of jaw relations are positive indicators for success, whereas patient neuroticism and a poorly formed mandibular ridge are negative indicators [1]. Following these criteria, severe atrophy of the mandible poses a great prosthodontic challenge [2-6] especially in conjunction with other particular morphological aspects [7,8].

Case Report

A 53 years old female patient was referred to the Removable Prosthodontics. Department, Faculty of Dentistry, ”Carol Davila” University of Medicine and Pharmacy from Bucharest. Due to family problems, she neglected her oral health for a long period of time. Masticatory function, esthetics and speech were severely affected (Figure 1,2).