Tooth Supported Overdenture: A Preventive Prosthodontic Approach

Tooth-supported overdentures represent a preventive prosthodontic approach for the rehabilitation of partially edentulous patients. The preservation of selected natural teeth beneath an overdenture helps maintain alveolar bone, improve proprioception, enhance denture stability, and reduce the rate of residual ridge resorption when compared to conventional complete dentures. Abutment teeth are commonly treated endodontically and modified with copings or attachments to support the overdenture and distribute occlusal forces more favorably. This treatment modality is especially beneficial in patients with compromised ridge anatomy, reduced neuromuscular control, or high functional demands. Tooth-supported overdentures also contribute to improved masticatory efficiency, patient comfort, and psychological well-being by preserving natural tooth support. Proper case selection, meticulous oral hygiene maintenance, and regular follow-up are essential for long-term success. Overall, tooth-supported overdentures serve as a cost-effective, biologically sound, and transitional option between conventional complete dentures and implant-supported prostheses, reinforcing the princip.