{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T03:47:09Z","timestamp":1780372029545,"version":"3.54.1"},"reference-count":23,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,17]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>A 49-year-old male patient with residual cleft palate and missing pre-maxilla presented with an ill-fitting and unaesthetic maxillary denture. The posterior teeth were periodontally sound but crowded and had defective restorations and secondary caries. We restored the bilateral maxillary canines and first premolars with conical telescopic crowns having magnetic keepers. A metal-reinforced acrylic overdenture with magnetic attachments corresponding to the keepers of the telescopic crowns was fabricated. The telescopic crowns provided a single path of insertion, retention and stability to the prosthesis. The magnetic attachments provided additional retention and self-centring properties. The prosthesis effectively sealed the oronasal communication and enhanced the function, aesthetics and oral hygiene. The 6-month and 1-year follow-ups revealed that the patient was delighted, and the prosthesis provided excellent obturation and function. Periodic follow-up, maintenance, patient education and meticulous oral hygiene are vital for long-term success of such prostheses.<\/jats:p>","DOI":"10.1136\/bcr-2019-233777","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T16:35:40Z","timestamp":1604507740000},"page":"e233777","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Oral rehabilitation of a cleft palate patient with tooth-supported, telescopic magnetic overdenture"],"prefix":"10.1136","volume":"13","author":[{"given":"Mohammed A","family":"Alfarsi","sequence":"first","affiliation":[{"name":"Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Asir, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1017-6419","authenticated-orcid":false,"given":"Sharaz","family":"Shaik","sequence":"additional","affiliation":[{"name":"Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Asir, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"2025082804095838000_13.11.e233777.1","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1001\/jamafacial.2013.2537","article-title":"Association between palatal index and cleft palate repair outcomes in patients with complete unilateral cleft lip and palate","volume":"16","author":"Rossell-Perry","year":"2014","journal-title":"JAMA Facial Plast Surg"},{"key":"2025082804095838000_13.11.e233777.2","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1177\/1055665617735102","article-title":"Surgery for velopharyngeal dysfunction: a systematic review of interventions and outcomes","volume":"55","author":"de Blacam","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"key":"2025082804095838000_13.11.e233777.3","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(2000)037<0534:DAPCFP>2.0.CO;2"},{"key":"2025082804095838000_13.11.e233777.4","first-page":"161","article-title":"Treatment of restricted jaw movement due to scars after palatoplasty","volume":"22","author":"Motegi","year":"1975","journal-title":"Bull Tokyo Med Dent Univ"},{"key":"2025082804095838000_13.11.e233777.5","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1097\/SCS.0b013e318192801b","article-title":"Palatoplasty outcomes in nonsyndromic patients with cleft palate: a 29-year assessment of one surgeon's experience","volume":"20(Suppl 1)","author":"Sullivan","year":"2009","journal-title":"J Craniofac Surg"},{"key":"2025082804095838000_13.11.e233777.6","first-page":"573","article-title":"Rehabilitation of patients with congenital unrepaired cleft palate defects using free iliac crest bone grafts and dental implants","volume":"17","author":"Laine","year":"2002","journal-title":"Int J Oral Maxillofac Implants"},{"key":"2025082804095838000_13.11.e233777.7","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1597\/06-061.1","article-title":"Speech intelligibility of patients with cleft lip and palate after placement of speech prosthesis","volume":"44","author":"Pinto","year":"2007","journal-title":"Cleft Palate Craniofac J"},{"key":"2025082804095838000_13.11.e233777.8","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1016\/S0011-8532(22)01115-6","article-title":"Overdentures with magnetic attachments","volume":"34","author":"Gillings","year":"1990","journal-title":"Dent Clin North Am"},{"key":"2025082804095838000_13.11.e233777.9","doi-asserted-by":"crossref","first-page":"246","DOI":"10.2174\/1874210601812010246","article-title":"Telescopic denture","volume":"12","author":"Hakkoum","year":"2018","journal-title":"Open Dent J"},{"key":"2025082804095838000_13.11.e233777.10","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1007\/s00784-017-2224-x","article-title":"Retention force of removable partial dentures with different double Crowns","volume":"22","author":"Arnold","year":"2018","journal-title":"Clin Oral Investig"},{"key":"2025082804095838000_13.11.e233777.11","first-page":"29","article-title":"Tooth-supported telescopic crown-retained dentures: an up to 9-year retrospective clinical follow-up study","volume":"17","author":"Widbom","year":"2004","journal-title":"Int J Prosthodont"},{"key":"2025082804095838000_13.11.e233777.12","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/j.1365-2842.2004.01036.x","article-title":"Parameters affecting retentive force of Conus Crowns","volume":"31","author":"G\u00fcng\u00f6r","year":"2004","journal-title":"J Oral Rehabil"},{"key":"2025082804095838000_13.11.e233777.13","doi-asserted-by":"crossref","first-page":"97","DOI":"10.2183\/pjab.78.97","article-title":"General remarks concerning magnetic attachments in dentistry","volume":"78","author":"Tanaka","year":"2002","journal-title":"Proc Japan Acad Ser B Phys Bio Sci"},{"key":"2025082804095838000_13.11.e233777.14","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1007\/s13191-012-0194-x","article-title":"Mandibular Overdenture retained by magnetic assembly: a clinical tip","volume":"14","author":"Anupam","year":"2014","journal-title":"J Indian Prosthodont Soc"},{"key":"2025082804095838000_13.11.e233777.15","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.prosdent.2014.02.017","article-title":"Double-crown-retained removable dental prostheses: a retrospective study of survival and complications","volume":"112","author":"Schwindling","year":"2014","journal-title":"J Prosthet Dent"},{"key":"2025082804095838000_13.11.e233777.16","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/cid.12675","article-title":"Patient satisfaction versus retention of implant overdentures with two attachment systems: a randomized trial","volume":"21","author":"de Albuquerque","year":"2019","journal-title":"Clin Implant Dent Relat Res"},{"key":"2025082804095838000_13.11.e233777.17","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.jebdp.2005.04.010","article-title":"Periodontal disease, periapical lesions and caries were, in that order, the causes of overdenture abutment loss","volume":"5","author":"Fenlon","year":"2005","journal-title":"J Evid Based Dent Pract"},{"key":"2025082804095838000_13.11.e233777.18","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1080\/02844311.1993.12005644","article-title":"Maxillary dental arch and occlusion in patients with repaired clefts of the secondary palate. Influence of push back palatal surgery","volume":"27","author":"Friede","year":"1993","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"2025082804095838000_13.11.e233777.19","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/0022-3913(51)90075-3","article-title":"The developments in the occlusal patterns of artificial teeth","volume":"1","author":"Hardy","year":"1951","journal-title":"J Prosthet Dent"},{"key":"2025082804095838000_13.11.e233777.20","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/0022-3913(81)90007-X","article-title":"An evaluation of cross-bite ridge relationships. A study of articulated jaw records of 150 edentulous patients","volume":"45","author":"Sanghvi","year":"1981","journal-title":"J Prosthet Dent"},{"key":"2025082804095838000_13.11.e233777.21","doi-asserted-by":"crossref","first-page":"172","DOI":"10.4012\/dmj.10.172","article-title":"Development of sealed cup yoke type dental magnetic attachment","volume":"10","author":"Okuno","year":"1991","journal-title":"Dent Mater J"},{"key":"2025082804095838000_13.11.e233777.22","doi-asserted-by":"crossref","first-page":"9","DOI":"10.4047\/jap.2016.8.1.9","article-title":"A study on the changes in attractive force of magnetic attachments for overdenture","volume":"8","author":"Leem","year":"2016","journal-title":"J Adv Prosthodont"},{"key":"2025082804095838000_13.11.e233777.23","doi-asserted-by":"crossref","first-page":"977","DOI":"10.11607\/jomi.7204","article-title":"Telescopic Crowns on implants and teeth: evaluation of a clinical study after 8 to 12 years","volume":"34","author":"Kern","year":"2019","journal-title":"Int J Oral Maxillofac Implants"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233777","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:06Z","timestamp":1756379406000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":23,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,4]]},"published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1136\/bcr-2019-233777"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233777","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}