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KMID : 1004520120280040385
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Journal of Dental Rehabilitation and Applied Science
2012 Volume.28 No. 4 p.385 ~ p.395
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Full Mouth Rehabilitation with a Overlay Denture
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Ko Kyoung-Ho
Kim Dae-Gon
Park Chan-Jin
Cho Lee-Ra
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Abstract
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This clinical report presents the case using overlay dentures to treat a patient with cleft lip and palate and malocclusion.
This patient requires vigorous treatment such as orthodontic treatment and combined orthodontic/oral surgery procedures.
Overlay denture can be used as an alternative treatment option. Intraoral and radiographic examinations were done. The vertical dimension of occlusion was evaluated for proper prosthetic procedures and the surveying in the diagnostic cast was done. Considering the tissue and teeth undercut, the alterations of teeth shape were done. Final preparation and impression was performed. After the evaluation of vertical dimension and occlusion with wax-denture, the dentures were polymerized. Clinical remounting and occlusal adjustment were done on the articulator. Overlay dentures were delivered and the patient was recalled for relining. The overlay dentures satisfied patient’s esthetic and functional requirements and provided a stable occlusion. Overlay dentures in this case were a reversible and relatively inexpensive treatment for this patient, however the potential possibilities of caries and periodontal disease as a result of poor oral hygiene should be prevented with periodic recall.
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KEYWORD
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cleft lip and palate, clinical remounting, mental retardation, overlay denture, vertical dimension
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