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Rehabilitation With Tooth-Implant Supported Screw Retained Telescopic Prosthesis: Case Report
Purpose: Dental implants can be used to support fixed or removable dentures in patients with complete or partial edentulism. The success of prosthetic rehabilitation depends on the number of remaining teeth, their placement, crown size as well as periodontal health. Especially in the presence of non-periodontal healthy teeth, restorations should be removable for easy cleaning of teeth, implants and soft tissue associated with the prosthesis and for the continuity of their health. In the literature, it has been shown that dental and implant supported full-arch telescopic dentures are a reliable treatment option for teeth with periodontal disease. For this purpose, screwed or telescopic systems are often preferred. Materials and Methods: A 75-year-old female patient without any systemic disease was admitted to our clinic with the complaint of partial edentulism. In the intraoral examination of the patient, it was seen that he had existing implants and teeth that were not periodontally healthy and had short crowns. Implants were placed in a strategic position in the anatomically appropriate areas of the maxilla and mandible. Teeth and telescopic copings were prepared on old implants to connect all abutments. A one-piece metal substructure was prepared that rests on the primary crowns and can be screwed into the implants. Thus, it is aimed to help stabilize teeth that may have an adverse periodontal prognosis. In case of tooth loss, the removable prosthesis can be continued to be used by the patient, so it has been considered as an economical treatment alternative. Results: During the 2-year follow-up, no biological or mechanical complications were observed in the teeth and implants. Conclusion: A combination of telescopic and screw prosthesis can be preferred in dental-implant supported prostheses with surgical and prosthetic restrictions.