Semiprecision attachment: a connecting link between the removable and fixed prosthesis

2020 ◽  
Vol 13 (8) ◽  
pp. e233744
Author(s):  
Ritu Saneja ◽  
Atul Bhatnagar ◽  
Nancy Raj ◽  
Pavan Dubey
Keyword(s):  
Good Alternative ◽  
Treatment Sequence ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Fixed Dental Prosthesis ◽  
Metal Framework ◽  
Careful Treatment ◽  
Removable Prosthesis ◽  
Fixed Prosthesis

Oral rehabilitation of partially edentulous arches requires careful treatment planning before any prosthodontic intervention. The connection of the metal framework of fixed (fixed dental prosthesis (FPD)) and removable partial denture using adhesive attachments is a good alternative prosthetic option when solely fixed prosthesis (FPD or implant) cannot be used due to anatomical limitation. Attachments are the tiny interlocking devices that act as a hybrid link to join removable prosthesis to the abutment and direct the masticatory forces along the long axis of the abutment. This joint acts as a non-rigid stress breaker, which helps in distributing the occlusal load. Precision and semiprecision attachment have always been bordered by an aura of mystery due to technique sensitive procedure and lack of knowledge. The following case describes a combined contemporary and conventional approach and treatment sequence with the use of attachments for the rehabilitation of partially edentulous arches.

scholarly journals Maxillary removable partial denture combined with O’ring attachment implant: a case report

2018 ◽  
Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Aesthetic Result ◽  
First Choice ◽  
Abutment Teeth ◽  
Fixed Prosthesis ◽  
The Aesthetic ◽  
Systemic Health

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.

scholarly journals Prosthetic Management of a Posterior Ridge Defect Case with Fixed Removable Type of Hybrid Prosthesis - A Case Report

2021 ◽  
Vol 10 (36) ◽  
pp. 3192-3195
Author(s):  
Mallika S. Shetty ◽  
Sanath Kumar Shetty ◽  
Suhaim Sayyed Karkala ◽  
Zahid Mohammed ◽  
Tushar Milind Wankhede
Keyword(s):  
Soft Tissues ◽  
Case Reports ◽  
Good Prognosis ◽  
Removable Partial Denture ◽  
Surgical Ablation ◽  
Partial Denture ◽  
Fixed Dental Prosthesis ◽  
Spark Erosion ◽  
Hybrid Prosthesis ◽  
Removable Prosthesis

The main aim of prosthetic dentistry is restoring the form, function, comfort and appearance of the patient by the placement of a prosthesis replacing the missing teeth and contiguous tissues.1 Various prosthetic options for partially edentulous patients include an interim removable partial denture (RPD) to a cast partial denture, a fixed dental prosthesis (FDP), and a more implant-retained prosthesis. However, FDP and implant-retained prosthesis are not always feasible, particularly in patients with excessive residual ridge resorption and jaw defects due to trauma and / or surgical ablation. In such a situation, a dentist may resort to another option of fixed-RPD prosthesis, to restore the defective hard and soft tissues to achieve natural aesthetics, phonetics, comfort, and better hygiene. This hybrid prosthesis fulfils the objectives of the rehabilitation such as support, stability, and retention characteristics similar to a fixed prosthesis and aesthetics and hygiene maintenance of a removable prosthesis.2,3,4,5 Any prosthesis designed or fabricated should be based on the prosthetic principles of support, stability, retention, and preservation of remaining structures.1 From the patient's perspective, retention is one of the important factors for its acceptability. These retentive options range from simple bar and clip attachments to more sophisticated spark erosion overdentures.6,7 Spark erosion prosthesis is technique sensitive, bulky, and requires expensive equipment.6,7 On the other hand, precision attachments provide better vertical support and stimulation to the underlying tissue through intermittent vertical massage.8 Treatment with a hybrid denture is an affordable choice to fulfil the patient's aesthetic demands along with providing a good prognosis for the prosthesis and preservation of the remaining dentition. This article presents two case reports of prosthodontic rehabilitation of a patient with mandibular defects using an attachment-retained fixed-removable hybrid prosthesis.

scholarly journals Infraocclusion Treated with Removable Prosthesis on Occlusal Surface of Severely Attritioned Teeth

2012 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Akinori Tasaka ◽  
Takayuki Ueda ◽  
Kaoru Sakurai
Keyword(s):  
Vertical Dimension ◽  
Occlusal Surface ◽  
Maxillary Incisor ◽  
Incisor Tooth ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Removable Prosthesis ◽  
Occlusal Vertical Dimension ◽  
Provisional Restoration

ABSTRACT A 66-year-old man visited our department with the chief complaint of poor esthetics due to loss of a fixed partial denture in a maxillary incisor tooth and difficulty in mastication due to an ill-fitting, mandibular removable partial denture. An analysis of the occlusal vertical dimension resulted in a diagnosis of infraocclusion. After increasing vertical dimension with a provisional restoration and treatment denture which covered the attritioned surface, a definitive prosthesis was applied. Untreated loss of molars and severe attrition of the remaining teeth caused infraocclusion in this patient, which increased occlusal loading on the incisor teeth and induced detachment of the prosthesis in the maxillary incisors. Esthetic appearance was improved and masticatory dysfunction restored by increasing vertical dimension and oral rehabilitation. Mildly invasive prosthetic treatment involved application of a removable partial denture which covered the attritioned surface, not only infraocclusion but masticatory dysfunction and poor esthetics were also treated. How to cite this article Tasaka A, Ueda T, Sakurai K. Infraocclusion Treated with Removable Prosthesis on Occlusal Surface of Severely Attritioned Teeth. Int J Prosthodont Restor Dent 2012;2(2):66-71.

Tratamento reabilitador com prótese total imediata maxilar e prótese parcial removível mandibular

2020 ◽  
Vol 9 (35) ◽  
pp. 32-39
Author(s):  
Ianca Zany Nunes Corrêa ◽  
Erika Akiko Moura Shiota ◽  
Ely Moacyr De Souza Portela ◽  
Gabriel Garcia Bardales ◽  
Francisco Pantoja Braga ◽  
...  
Keyword(s):  
Tooth Extraction ◽  
Functional Restoration ◽  
Radiographic Examination ◽  
Prosthetic Rehabilitation ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Natural Teeth ◽  
Oral Examinations ◽  
Artificial Teeth

Immediate complete denture (ICD) is a mucosa-supported prosthesis manufactured before the removal of natural teeth and installed soon after their extraction. This paper aims to describe a clinical case of oral rehabilitation with upper ICD and lower removable partial denture (RPD). A 57-year-old female patient sought treatment with dissatisfaction with her aesthetics and mobility of the upper teeth. After anamnesis, intra and extra-oral examinations, radiographic examination and analysis of study models mounted on a semi-adjustable articulator, periodontal pockets were found in the upper teeth and extensive bone loss. So, upper tooth extraction, superior ICD and lower RPD were indicated as treatment. For ICD preparation, anatomical and functional moldings were made, made up of orientation and intermaxillary relationship plans for the assembly of the semi-djustable articulator models. The remaining upper teeth were removed from the model for assembly of the artificial teeth and the ICD was polymerized and polished. The lower RPD was made following the standard steps. After dentures manufacturing, the surgery for upper tooth extraction was performed and prostheses installed immediately after surgery. The results demonstrated that the performed treatment provided aesthetic, phonetic, and functional restoration to the patient avoiding her to undergo a period of edentulism. It was concluded that ICD is a good indication for prosthetic rehabilitation of patients with advanced periodontitis, whose planning is the exodontia of all the teeth of an arch.

scholarly journals ANALYSIS ON THE PATTERN OF USING THE SERVICE OF REMOVABLE PARTIAL DENTURE MAKING IN A DENTAL LABORATORY IN SURABAYA

2017 ◽  
Vol 52 (4) ◽  
pp. 270
Author(s):  
Okti Setyowati ◽  
Endang Kusdarjanti
Keyword(s):  
Dental Health ◽  
Class Ii ◽  
Class I ◽  
Class Iii ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Metal Framework ◽  
Removable Denture ◽  
Class Iv

The making of removable denture is performed by a dental laboratory. To facilitate the identification, according to Kennedy classification, classes are divided onto groups, the Kennedy class I, II, III and IV. To suit with the needs of the dental laboratory tasks commonly done, priority are necessary for common cases and should to be taught to students of Dental Health Technology Diploma. In Surabaya, research of various cases of removable partial denture with the various Kennedy classifications has never been done before. This study was to analyze the pattern of service for the removable partial denture manufacture in dental laboratory at Surabaya (2011 – 2013). The research is an observatory analytic. The population is all dental laboratories located around the campus of the Faculty of Dentistry Airlangga University Surabaya. The sample was the whole population is willing to become respondents. Sampling by total sampling. The method of collecting data using secondary data from a dental laboratory in Surabaya from 2011 until 2013. The note is cases removable denture according to the classification of Kennedy that Kennedy Class I, II, III and IV. Also of note kinds of materials used to make the denture base that is heat cured acrylic resins, thermoplastic resins and metals coherent. The data is a compilation table charting the frequency until needed, then analyzed using cross tabulation. Mostly denture type is flexible type and the least is metal framework. Most cases by classification Kennedy is followed by class II class III and class II and more recently is the fourth. In conclusion, in 2011 and 2013 the manufacture of removable partial dentures according to the classification of Kennedy Class III is the most common in both the upper arch and lower jaw, followed by Class II, Class I and Class IV. In 2012 which is the highest grade III followed by class II, class IV and class I. The denture type most used is a flexible denture, followed acrylic denture and the last is the metal framework.

scholarly journals Esthetic Rehabilitation with a Cast Partial Denture

2017 ◽  
Vol 12 (4) ◽  
pp. 189-192
Author(s):  
Suraksha Shrestha ◽  
Sanjay Sah
Keyword(s):  
Treatment Option ◽  
Anterior Region ◽  
Missing Teeth ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Anterior Teeth ◽  
Fixed Prosthesis

Removable partial denture is a treatment option where fixed prosthesis is not indicated. Due to its esthetic problems in the anterior region various modifications have been designed for its fabrication. This article describes an esthetic alternative using a round rest distal depression clasp for maxillary anterior teeth abutment while restoring the missing teeth with a cast partial denture.

scholarly journals Removable partial denture metal framework manufactured by selective laser melting technology – A clinical report

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Joana Cabrita ◽  
◽  
Teresa Mendes ◽  
João Martins ◽  
Luís Lopes ◽  
...  
Keyword(s):  
Selective Laser Melting ◽  
Clinical Report ◽  
Laser Melting ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Melting Technology ◽  
Metal Framework ◽  
Classic Technique ◽  
Abutment Teeth ◽  
And Function

The selective laser melting technology is an additive digital method that permits producing metal frameworks for removable partial dentures. The existing literature has compared this technique with the classic technique in terms of precision, quality of fit, and function. This work describes a clinical case of a metal framework produced by the selective laser melting technique in a patient rehabilitated with a removable partial denture. No adjustments were required when the metal framework was inserted, showing good adaptation and stability to the abutment teeth and surrounding tissues. Further studies are necessary for a significant assessment of this technique’s clinical applicability.

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