POL Scientific / JBM / Volume 11 / Issue 4 / DOI: 10.14440/jbm.2024.0036
CASE REPORT

Full mouth rehabilitation with fixed teeth supported prosthesis following hobo twin stage technique – A Case Report

Ahila Singaravel Chidambaranathan1 Rajdeep Tah1 Muthu Kumar Balasubramanium1
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1 Department of Prosthodontics, SRM Dental College, Bharathi Salai, Ramapuram, Chennai, Tamil Nadu, India
JBM 2024 , 11(4), e99010027; https://doi.org/10.14440/jbm.2024.0036
Submitted: 18 July 2024 | Revised: 10 August 2024 | Accepted: 28 August 2024 | Published: 23 September 2024
© 2024 by the Journal of Biological Methods published by POL Scientific. Licensee POL Scientific, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Background: Worn dentition is a common problem encountered by most people in the last decade. Rehabilitation of a full mouth needs individual attention and proper treatment planning, which is very challenging for partial edentulous cases where bilateral teeth are missing and collapsed vertical dimension leaves inadequate restorative space. Treatment of these cases is complex and needs to apply standard principles while designing and fabricating prostheses. Case presentation: A 41-year-old female presented with a history of difficulty in chewing and poor appearance. Examination revealed that the patient had missing teeth in the maxilla (12, 13, 14, 15, 23, and 24), in the mandible (46 and 47), and in teeth 11, 21, 22, 25, 36, 37, 43, 44, and 45 were root canal treated, of which 21, 22, and 25 did not have any coronal structure and 36 had a discharging sinus. The periodontal condition of the remaining teeth was good and the vertical dimension was reduced. This patient had multiple missing and badly damaged anterior teeth. Hence, Hobo and Takayama twin stage method was used to re-establish the anterior guidance for full mouth rehabilitation. Conclusion: Worn dentition requires a very careful and calculative approach due to its complex nature. Hobo twin stage technique is based on case studies from which the mathematical values for anterior guidance and posterior disocclusion are determined and thus minimizes the clinical procedure duration and produces good masticatory function.

Keywords
Full mouth rehabilitation
Hobo twin stage
Mutilated dentition
Occlusion
Funding
None.
References
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Conflict of interest
The authors declared that there are no conflicts of interest.
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Journal of Biological Methods, Electronic ISSN: 2326-9901 Print ISSN: TBA, Published by POL Scientific