ABSTRACT

Tooth loss is a problem that is often encountered in society, especially in the elderly. Patients with edentulism should undergo treatment using complete dentures. One of the complications in making complete dentures is torus palatinus, especially in cases that have more than 1 lobe which extends posteriorly and reaches the junction of the hard and soft palates. This can lead to the failure of complete dentures treatment, which will cause the patient feels uncomfortable when using the maxillary complete denture and easily detached when used to speak. A 68-year-old man came to the prosthodontics clinic at the teaching hospital Faculty of Dentistry Universitas Trisakti, with the chief complaint that his old denture was uncomfortable and unsteady, especially in the upper denture. Based on intra-oral examination, 4 lobes of the torus palatinus were seen which extended posteriorly to reach the junction of the hard and soft palates. Evaluation of the old denture showed that the acrylic base reached the posterior torus palatinus which was adjacent to the soft palate, causing displacing of the upper denture when the patient spoke. Modification of the shape of the acrylic base is one way to overcome this problem. In this case report, the patient used a modified approach to an acrylic base when manufacturing a new acrylic complete dentures. The end result is a retentive and stable prosthesis, during function.