Outcome of single maxillary complete dentures opposing mandibular teeth: A need to introspect on the prosthodontic treatment protocol.

INTRODUCTION: In the era of implant supported restorations, conventional complete denture (CD) for isolated edentulous maxilla still remains the first choice of treatment despite being its frequent mechanical failures.

STATEMENT OF PROBLEM: Edentulous maxillary arch restored with polymethyl methacrylate (PMMA) based CDs when opposed by natural and/or restored dentition is biomechanically and functionally a compromised rehabilitation.

MATERIALS AND METHODS: Seven patients (4 males, 3 females) in the age range of 55-75 years were treated for their frequent fracture of the single maxillary denture. They were asked to rate their prosthodontic experience on a scale of 1-10. They were further inquired about the awareness of their clinical condition and knowledge on the alternative treatment options available to them, number of different dentists they have been treated by and frequency of their re-visits to the dental office after being edentulous.

RESULTS: Removable PMMA based CD in maxilla was the first choice of treatment for all the restorative dentists who treated these patients. No attempt was ever made to treat the opposing dentition in any of the seven patients. Despite being under regular prosthodontic care for fabrication and repairs by as many as 23 dentists, none of the patients was aware of their clinical situation and the alternative treatment options available.

CONCLUSION: It is imperative that the restorative dentist be aware of the perils of such inter-arch relationships. Appropriate treatment done on time may avert a situation where the oral conditions become incompatible for the longevity of treatment done even with the aid of dental implants.