Rehabilitation of the edentulous patient with implant overdenture using CAD-CAM denture system: A case report

Abstract

This case report introduces a 74-year-old male patient who visited retention defi-ciency of the mandibular implant overdenture, which was fabricated 20 years ago. When the existing dentures were used, the vertical dimension was reduced, the maxillary complete denture lacked lip support and retention, and the mandibular overdenture lacked clip retention due to damage to the bar attachment. After re-moving the damaged bar attachment, it was replaced with a ball attachment, and impressions were taken using the DENTCA TM Tray and then the vertical dimension was measured. The gothic arch tracing was performed to record the centric relation. Obtained impressions were scanned and the shape of final dentures was designed using software and try-in dentures were fabricated using 3D printer. After evaluating the occlusal plane, occlusal relationship, facial shape, and pro-nunciation using the try-in dentures, the bite registration was recorded, and the final denture was manufactured based on this. The inner surface of the denture was adjusted and bilateral balanced occlusion was formed, and the housing was connected to the mandibular denture by a direct method. This case reports have shown satisfactory resultin recovering improved retention and esthetic outcome by increasing the vertical dimension and the lip support using CAD-CAM tech-nique and the ball attachment. (J Korean Acad Prosthodont 2022;60:374-81)