case 23: overdenture problems

Question 1

Case Summary

Answer 1

C/O - 67 y/o lady complains that a filling was lost from one of the upper canine roots below her overdenture, no symptoms (has had RCT) and she isn’t happy with the denture. Becomes uncomfortable by 3 o’clock so takes it out.
RMH - low dose aspirin after an MI, high cholesterol
DH - overdenture provided on the 2 retained upper canine roots, stable and retentive.
IO - redness on palate under the DBA but not tender.

Question 2

From which two points does a Willis Bite Gauge measure?

Answer 2

lower border of the nose to the lower border of the mandible - measures face height when in occlusion and rest.

Question 3

What is the average freeway space?

Answer 3

2-4mm (in the premolar region)

Question 4

The pts lips do not meet when closed.
What is the most likely error in this denture?

Answer 4

error in OVD - increased so the pt is over closed.

Question 5

How would you manage this case?
(incorrect ovd and missing filling)

Answer 5

• replace filling in the root to prevent caries
• remake the denture with the correct FWS