Optimizing oral health and function with telescopic dentures: A case report in preventive prosthodontics

Preventive prosthodontics is a crucial field within prosthetic dentistry aimed at conserving natural teeth and surrounding oral structures to prevent further deterioration. This approach emphasizes early intervention to maintain oral health, function, and aesthetics while minimizing the need for extensive future treatments. This case report explores the application of preventive prosthodontics through the use of telescopic dentures in a 59-year-old female patient with diabetes. The patient presented with a dislodged fixed partial denture (FPD) and multiple compromised abutment teeth. After assessing her condition, including significant periodontal issues and missing teeth, a treatment plan incorporating a telescopic denture was chosen. The telescopic denture system, featuring dual copings, provided superior retention and stability while preserving natural teeth and bone structure. The treatment involved careful tooth preparation, periodontal therapy, and the fabrication of telescopic copings and crowns. The patient reported significant improvements in masticatory function, stability, and comfort. The case demonstrates how telescopic dentures offer a high-quality solution in preventive prosthodontics, combining the advantages of both fixed and removable prostheses to address complex clinical situations effectively.