Case Report

A Challenging Case of Prosthetic Dental Rehabilitation by a Root-Retained Overdenture Using Intra-Radicular Attachments: A Clinical Report with a Seven-Year Follow-Up

Abstract

Conventional complete dentures cause underlying bone resorption over time, which leads to retention loss and poor adaptation of denture. These complications can be prevented in use of root-supported or tooth-supported overdentures. A tooth-retained overdenture with intra-radicular attachments is recommended in case of insufficient inter-arch space to improve denture retention, stability, function, and support. This study describes a tooth-supported overdenture to gain retention from the canine teeth, and compensate for the limitation in inter-occlusal space. This clinical report helps dental clinicians in selection of the appropriate attachment type in different conditions, and designing a suitable treatment plan. After 7 years of follow-up, no complication was observed.

1. de Souza BV, de Faria AD, Junior Joel Ferreira S, Gonçales VA, Piza PE, FellippoRamos V. Root-supported overdentures associated with temporary immediate prostheses--a case-report. Oral Health Dent Manag. 2014 Jun;13(2):159-63.
2. Tiwari P, Karambelkar V, Jayanti Patel NY, Javiya P, Sethuraman R. Attachment retained overdenture. Ind J Dent Ther Res. 2013 1;1(3):167-9.
3. Attar N, Tam LE, McComb D. Mechanical and physical properties of contemporary dental luting agents. J Prosthet Dent. 2003 Feb;89(2):127-34.
4. Prakash VS, Shivaprakash G, Hegde S. Four and two tooth supported-Conventional over denture: Two case reports. J Int Oral Health. 2013 Jan;3(1):61-4.
5. Tuna SH, Kürkçüoğlu I, Kısacık FÖ. Management of a challenging prosthetic case with the use of an inter-radicular attachment: A clinical report. J Dent & Oral Disord. 2015;1(1):1003.
6. Makkar S, Chhabra A, Khare A. Attachment retained removable partial denture: A clinical report. Int J Clin Dent. 2011 Apr;2(2):39-44.
7. Thayer HH, Caputo AA. Effects of overdentures upon remaining oral structures. J Prosthet Dent. 1977 Apr;37(4):374-81.
8. Chandra S, Singh A, Singh M, Anand B. Root supported overdenture using Zest Anchor locator attachment-a case report. Public Health Res Dev. 2011;2(1):86.
9. Tokar E, Uludag B. Novel fabrication technique for Root-supported overdentures: A case report. West Indian Med J. 2018;67(1).
10. Devi J, Goyal P, Verma M, Gupta R, Gill S. Customization of attachments in tooth supported overdentures: Three clinical reports. Indian J Dent Res. 2019 Sep-Oct;30(5):810-815.
11. Hug S, Mantokoudis D, Mericske-Stern R. Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int J Prosthodont. 2006 May-Jun;19(3):236-43.
12. Samra RK, Bhide SV, Goyal C, Kaur T. Tooth supported overdenture: a concept overshadowed but not yet forgotten. J Oral Res. 2015 Jan;7(1):16-21.
13. Alsabeeha NH, Payne AG, Swain MV. Attachment systems for mandibular two-implant overdentures: a review of in vitro investigations on retention and wear features. Int J Prosthodont. 2009 Sep-Oct;22(5):429-40.
IssueVol 23 (Continuously Published Article-Based) QRcode
SectionCase Report
Keywords
Denture Complete Overlay Denture Precision Attachment
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Arshad M, Yaghoobi NY. A Challenging Case of Prosthetic Dental Rehabilitation by a Root-Retained Overdenture Using Intra-Radicular Attachments: A Clinical Report with a Seven-Year Follow-Up. Front Dent. 2026;23.