1. Department of Prosthodontics, K.L.E.S’ Institute of Dental Sciences,
PREVENTIVE PROSTHODONTICS
Dr.Kamal Shigli M.D.S.
Professor
Dr.Gangadhar S.A. M.D.S.
Professor & Head
Department of Prosthodontics,
K.L.E.S’ Institute of Dental Sciences,
Belgaum,Karnataka

3. INDIA'S ELDERLY POPULATION RISING !!!!
Currently stands at roughly 8%
Constantly on the rise
Projected at 11.8% by 2015

4. Infancy – 18 yrs : Nutrition,
POINTS TO BE STRESSED
Infancy – 18 yrs : Nutrition,
Brushing habits,
Replacement of prematurely lost deciduous
teeth,
Access to fluoridated water.
yrs : Educate about periodic visits to dentist,
Good health habits,
Avoidance of stress.

5. 30 - 50 yrs : Educate about freedom from stress,
Oral maintenance,
Adequate vitamin intake,
Preservation of all possible teeth,
Periodic checkups,
Refitting of old prosthesis.
Above 50 yrs : Happiness is a great therapy;
its lack is an enemy to good physiology.

6. Overdenture is the treatment of choice
Few teeth remaining ?
Overdenture is the treatment of choice

7. CASE 1.
Pre operative
Treatment stages

8. Primary copings

9. Wax pattern for secondary copings

10. Secondary copings embedded in mandibular denture

11. Post-operative
Pre-operative

12. CASE 2.
Coping cemented

13. Overdenture in occlusion

14. Pre-operative
Post-operative

15. CASE 3.

16. Panoramic radiograph showing submerged roots

17. Denture in Occlusion

18. Post-operative
Pre-operative

19. Indications Few teeth remaining Congenital & acquired defects
Immediate & interim dentures
Implants

20. Contraindications High caries index
Mentally and/or physically handicapped
More clinical appointments

21. Advantages Proprioceptive feedback Preservation of alveolar bone
Support
Retention
Psychological aspect
Convertibility

22. Disadvantages Plaque retention Secondary caries Need for endodontics
Cost
Bulk of attachments & tissue undercuts
Difficulty in achieving shade
Encroachment of the interocclusal distance

23. Conclusion Asymptomatic roots can be submerged.
Give a chance to the tooth to serve more.
Asymptomatic roots can be submerged.

24. Never say 'NO' to Overdentures
THANK YOU
Never say 'NO' to Overdentures