The energetic 70-year old with purely mucosa-supported full dentures complained about the poor fit of her lower dentures and the corresponding restricted function, which was due to a considerably varying occlusion profile on both sides, including a dysfunctional acting »groove position« of the molars. Furthermore, the patient was dissatisfied with the unattractive esthetic appearance of her upper anterior teeth as well as with the design of the vestibular prosthetic components. She wished for »prosthetic gums« with a natural appearance and a return to the smile she once had.
After a thorough medical history and diagnosis, the treatment team decided to propose a mucosa-supported overdenture in the mandible, retained on four implants with ball clasps, and a new, purely mucosa-supported full denture for the maxilla. Due to the good general health status of the patient, of which she was aware, she decided on this prosthetic solution which involved frequent treatment sessions. Esthetics and function were worth it in her opinion.
Fig. 1+2: Initial situation