International Journal of Oral Health Dentistry 2023;9(2):147–150 Content available at: https://www.ipinnovative.com/open-access-journals International Journal of Oral Health Dentistry Journal homepage: www.ijohd.org Case Report Unleashing the potential of mandibular tooth supported overdenture to enhance stability and support – A case report Himanshu Aeran 1, *, Jyotsna Seth 1 , Rahul Dhami 1 , Aishwarya Kesavan 1 1 Dept. of Prosthodontics & Crown and Bridge, Seema Dental College & Hospital, Rishikesh, Uttarakhand, India ARTICLE INFO Article history: Received 02-06-2023 Accepted 13-06-2023 Available online 26-06-2023 Keywords: Overdenture Tooth Supported Mandibular Retention Stability ABSTRACT Treating patients using tooth supported overdentures can help in preservation of the remaining natural teeth which can provide psychological, functional and anatomical benefits. Retaining roots can provide preserving proprioceptive receptors and increase the stability of dentures, hence it is the favoured treatment for elderly patients with a few remaining teeth. This case report describes a tooth supported mandibular denture retained using a custom made coping to enhance the retention of the prosthesis. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction Preventive prosthodontics emphasizes on the dictum of MM De Van which states that “perpetual preservation of what remains is more important than the meticulous replacement of what is lost”. 1 Natural teeth/tooth supported overdentures should be considered as a treatment option in patients which fewer remaining teeth to prevent resorption of alveolar bone due to extraction of all natural remaining teeth. The occlusal forces transmitted to the alveolar bone through the periodontal ligament stimulate bone formation, thereby preserving bone. The mandibular teeth are particularly prone to rapid reduction in bone height after their loss, with studies showing that the rate of resorption in the edentulous mandible is four times higher than in the edentulous maxilla. 2 Overdentures provide a positive means of delaying complete edentulism and contribute to bone preservation. Furthermore, they offer the patient the satisfaction of retaining their natural teeth. Despite advancements in dental implantology, the conservative approach of preservation * Corresponding author. E-mail address: drhimanu4@gmail.com (H. Aeran). of roots followed by an over denture still remains valid. Retaining natural roots bring several advantages, including maintenance of alveolar bone, improves prosthesis support, provides proprioceptive feedback, enhances esthetics as well as psychological benefits. This paper presents a case report on the rehabilitation of a mandibular tooth supported overdenture. The prosthesis is retained using cutom made copings which enhance stability and support. 2. Case Report Past medical history was insignificant and dental history revealed patient had undergone extraction under local anesthesia without any complications. After discussing the various treatment modalities with the patient, taking their intra oral and present health condition into consideration, tooth supported mandibular overdenture was planned with conventional complete denture prosthesis for the upper arch. 3. Procedure In the first visit, diagnostic impressions were taken in which diagnostic casts was fabricated, after surveying the cast, jaw https://doi.org/10.18231/j.ijohd.2023.028 2395-4914/© 2023 Innovative Publication, All rights reserved. 147