Tooth-Supported Maxillary Single Complete Overdenture with Complete Mandibular Rehabilitation: A Case Report

Abstract

Introduction: Overdentures provide a viable treatment option for patients with limited remaining teeth, offering improved retention, stability, and preservation of alveolar bone. Aim: This case report describes the rehabilitation of a patient with a maxillary tooth-supported single complete overdenture and a complete mandibular denture. Case Presentation: A 43-year-old female presented with a severely resorbed maxillary arch and retained mandibular teeth. The patient's dental history revealed gradual tooth loss over 15 years, with previous attempts at removable partial denture therapy proving unsatisfactory. The maxillary arch was restored with a tooth-supported overdenture using two remaining central incisors, while the mandibular arch was completely rehabilitated with post and core, implant-supported fixed prosthesis and fixed crowns. Discussion: The treatment improved masticatory efficiency, speech, and aesthetics while preserving residual ridge integrity. Tooth-supported overdentures offer advantages over conventional complete dentures, including better stability and proprioception. The incorporation of attachments (e.g., ball, bar, or telescopic copings) enhances denture retention, reducing displacement during function. Conclusion: This case highlights the effectiveness of a tooth-supported maxillary overdenture combined with mandibular complete denture rehabilitation in improving oral function and patient satisfaction.