Tooth Supported Overdenture Retained with Root-borne Locators: A Case Report
(PO-059) Tooth Supported Overdenture Retained With Root-borne Locators: A Case Report
Sunday, March 20, 2022
1:00pm – 3:00pm EST
Location: Hall C
Author: Steven Sheibley, D.M.D. – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry Author: Matthew Gamache, D.D.S. – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry Author: Ally Pritchet, D.M.D. – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry Author: Stephanie Sawyer, D.D.S – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry Author: John Roberson, D.M.D. – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry Author: Roy Faulks, D.M.D. – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry Submitter: Steven Sheibley, D.M.D. – Hospital GPR Resident, University of Alabama at Birmingham School of Dentistry
Objectives: Patients who are not candidates for extractions of severely decayed teeth in a xerostomic environment due to previous radiation treatment for head and neck cancer may benefit from tooth supported overdentures. Not only does the retention of roots help prevent osteoradionecrosis (ORN), it also preserves the alveolar ridge, provides sensory feedback, and allows for root borne locator attachments to improve retention. This case report describes a novel approach to restoring extensive decay in the ORN prone patient.
Methods: With proper diagnosis and interdisciplinary treatment planning, this case was completed in the hospital clinical setting. Remaining dentition was maintained with proper periodontal therapy and caries removal. Tooth vitality was assessed and RCT therapy was done where necessary. Proper assessment allowed for tooth supported overdenture.
Results: The use of root borne locators for a tooth supported overdenture allows for adequate tooth replacement with patient satisfaction.
Conclusions: The use of root borne locators for a tooth supported overdenture is a viable treatment options for patients who are not candidates for tooth extractions. More long term research is needed to understand the longevity of health in the prosthesis.
