Strategic Tooth Preservation for Long-Term Prosthetic Success: A Dual Case Analysis

Certificate of participation with 1 CME is available

Preventive prosthodontics emphasizes the preservation of remaining natural teeth and supporting structures to maintain oral function, proprioception, and patient comfort while delaying complete edentulism. Tooth-supported overdentures and telescopic denture systems represent biologically sound and cost-effective modalities that reduce residual ridge resorption and enhance prosthetic stability. This presentation highlights two clinical cases illustrating individualized preventive prosthodontic strategies. The first case involves a 65-year-old female rehabilitated with a maxillary fixed partial denture incorporating semi-precision ball attachments combined with a mandibular tooth-supported overdenture, allowing preservation of strategic abutments while achieving improved retention and functional efficiency. The second case describes a 59-year-old diabetic male with compromised abutment teeth and a dislodged fixed partial denture, managed using a maxillary telescopic denture supported by dual metal copings and a mandibular conventional removable prosthesis, accommodating systemic considerations while ensuring stability and longevity. Both patients demonstrated significant improvements in mastication, comfort, retention, and psychological well-being. Follow-up assessments revealed healthy abutment teeth, stable prostheses, and high patient satisfaction, underscoring the importance of meticulous planning and case-specific decision-making. These cases reaffirm that preventive prosthodontics, through strategic utilization of remaining dentition, aligns with De Van’s philosophy that preservation of existing structures is more valuable than replacement alone, offering predictable outcomes and improved quality of life.

Highlights

Concept and philosophy of Preventive Prosthodontics

Importance of preserving strategic abutments

Clinical indications for tooth-supported overdentures

Role of telescopic denture systems in compromised cases

Use of semi-precision attachments for enhanced retention

Management of prosthodontic cases with systemic conditions

Comparative advantages over conventional complete dentures

Long-term benefits: ridge preservation, proprioception, stability

Case-based decision-making and treatment planning

Reinforcement of De Van’s preventive philosophy

Date: 29/01/2026 | 08:00 PM IST

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Speaker(s)

Dr. Divyabharathi Selvam MDS, AFLD, (PhD) Oral and Maxillofacial Prosthodontist & Implantologist Laser Dentist
Categories:
Dental Webinars Prosthodontics
Tags :
Clinical Dentistry Webinar Preventive Prosthodontics Prosthetic Dentistry Tooth Preservation
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