telescopic denture

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Telescopic Denture. Other names of Telescopic Denture (overlay denture, overlay prosthesis, and superimposed prosthesis).

Telescopic denture is a prosthesis that consists of :
1. Primary coping which is cemented to the abutments in a patient's mouth
2. Secondary coping which is attached to the prosthesis and which fits on the primary coping.

Indication.
1. Distal edentulous area with a minimum of two teeth bilaterally present with a good amount of periodontal support; which in a conservative manner preserves the remaining teeth and helps in the conservation of alveolar bone.

Advantages.
1. Creation of a common path of insertion.
2. Easy to perform routine oral hygiene.
3. Rigid splinting action.
4. Provision of suitable abutments for RPDs even when remaining teeth periodontal compromised.
5. Much easier insertion and removal for the patient.
6. Accommodates future changes in the treatment plan.
7. Psychologically well-tolerated by patient.
8. Distribution of stresses to the abutment teeth.

Disadvantages.
1. Increased cost
2. Complex laboratory procedures
3. Extensive tooth reduction required
4. Increased number of dental appointments.
5. Difficulty in achieving esthetics.

Component.
Primary full-coverage casting( coping/male telescopic portion) lute to the prepared tooth with a Secondary casting (superstructure/secondary crown/female telescopic portion), which is a part of the denture framework and is connected by means of interfacial surface tension over the primary casting.

Important for the successful fabrication of the telescopic dentures is Inter arch space

Sufficient space must be present to accommodate the primary and secondary copings, to have a sufficient denture base thickness to avoid fracture, and space for the arrangement of the teeth to fulfill the aesthetic requirements.

Interarch distance should be ≥ 10 mm, in order to have sufficient space for the copings, denture base, teeth placement and adequate closest speaking space.

The selected abutments should be periodontal sound with adequate bone support and no/ minimal mobility.

There should be at least one healthy abutment in each quadrant. An even distribution of the abutment in each quadrant of the arch is preferable for better stress distribution and for increased retention and stability of the prosthesis.

Mode of action
1. Transferring forces along the direction of the long axis of the abutment
teeth and providing guidance, support, and protection from movements that might dislodge the RPDs.
2. Telescopic crowns can also be used as indirect retainers to prevent dislodgement of the distal extension base away from the edentulous ridge. telescopic crowns, telescopic crown and coping
A double crown or coping system is used in telescopic dentures, also referred to as telescopic overdentures, to offer a more stable and secure fit. In this method, an inner crown or coping is placed on the abutment teeth or implants, and the inner one is covered by an outer crown or coping that fits over it. A telescopic effect is produced by the interlocking of the two crowns or copings, which aids in stabilizing the denture. telescopic denture technique, telescopic crowns in dentistry
When there are several missing teeth or when a more stable and secure fit is required than traditional removable dentures can offer, telescopic dentures are frequently used. Both full and partial dentures can use them, and they can be held in place by dental implants or healthy teeth.
Using double crowns or copings to support dental restorations like bridges or partial dentures is known in dentistry as telescopic crowns. telescopic overdenture, telescopic dental bridge
Any removable denture or dental restoration that fits over the natural teeth or dental implants is referred to as an overlay denture or an overlay prosthesis. telescopic denture, telescopic dentures
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telescopic crown in rpd overlay denture overlay prosthesis telescopic partial denture Removable telescope crowns telescopic crown #telescopicdenture #telescopic #telescopicdentures #telescopicoverdenture #overdenture #telescopiccrowns #telescopiccrown #telescopicprosthesis
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