scholarly journals Kombinasi hybrid prosthesis dengan precision attachment pada kasus mahkota klinis pendek Hybrid prosthesis combined with precision attachment to overcome clinically short crown

2013 ◽  
Vol 12 (2) ◽  
pp. 118
Author(s):  
Irene Melina ◽  
Soekobagiono Soekobagiono ◽  
Harry Laksono

In the case of losing many teeth and the residual teeth have short clinical crown, design of the denture may hybriddenture. Hybrid denture is a removable partial denture with metal frame which have retention in the form ofprecision attachment. In short clinical crown, placement of crowns and the use of traction can be a problem,because there is no or lack of retention. In the manufacture of hybrid denture with precision attachment retention,using abutment with short clinical crowns is contraindicated. But in some literatures mentioned that the rest of theclinical crown height of not less than 2 mm can still be used as an abutment, but the abutments must be modified,such as making a longer preparation towards cervical edge. In several studies and literature, it is mentioned that toimprove the retention of the crown, the axial wall of abutment must be 4-6°. This article is aimed to report the clinical success of using the hybrid denture on abutment teeth which have short clinical crowns in a patient woman

2004 ◽  
Vol 51 (3) ◽  
pp. 153-157
Author(s):  
Ljiljana Tihacek-Sojic ◽  
Slobodan Saulic

The aim of this paper was to examine the justification of forming active prosthetic segments on the abutment teeth for the incline of the elements of removable partial denture. Methods. The investigation was performed during 3-years observational period, at the Prosthodontic Clinics of Belgrade University Dental School, and the Military Medical Academy (MMA). During the mentioned observation period two groups of 200 patients with different kinds of edentulousness were analyzed, indicated for the design of metal frame removable partial dentures (MFRPD) with cast clasps. A total of 400 patients represented 50% of the sample chosen by random choice method for the determined observational period and dental institutions. Results. The evaluation of justification of the abutment teeth preparation was done during the analysis of the requirement of forming: guide planes, planes for occlusal rests, vestibular under cut, oral under cut. Conclusion. Upon the evaluation of the performed analyses the following can be concluded: during the composition of every MFRPD it is necessary to use at least two or more guide planes, depending on the type edentulousness of patients' teeth; formation of guide planes is performed in excessively high number of the abutment teeth (over 95%); during the composition of each particular MFRDP it is necessary to use as more occlusal rests as possible, at least 3, or more, which also depends on the type of patients' edentulousness; composition of the planes for occlusal rest has to be performed in almost all the patients (over 95% of the abutment teeth); vestibular planes of the abutment teeth should be prepared in over 50% of the used teeth; oral planes are prepared within the preparation of the abutment teeth for other active prosthetic segments. Conclusion. It is necessary to perform the composition of active prosthetic segments according to the plan established for the study models, both if the preparation of teeth for the adoption of MFRDP elements with clasps represents the use of an uninvasive, or an invasive dental method.


2021 ◽  
Vol 9 (D) ◽  
pp. 170-178
Author(s):  
Ragia Saad Mohamed Kotb ◽  
Ahmed Gamal Ahmed Hassan ◽  
Emad Mohamed Tolba M. Agamy ◽  
Gehan Fekry Mohamed

Objective: To evaluate and compare the effect of implant supported versus implant retained removable partial denture restoring Kennedy's class I cases on the supporting structures by measuring modified gingival index and probing depth for abutment teeth and implants. Subjects and Methods: Twelve patients; who had Kennedy class I mandibular partially edentulous ridge extending distal to the first or second premolar,   were selected from the outpatient clinic, Prosthodontics Department, Faculty of Dentistry, Minia University. The patients were classified into two equal groups; according to the implant superstructures either dome shaped abutment or ball and socket attachment.  Each Patient of both groups had two implants in second molar position (one in each side) and received removable partial denture of the same design. Patients were followed up for one year clinically. Group I: Six patients received RPD supported by dome shaped short abutments.  Group II six patients received RPD retained by ball and socket attachments. Results: Results revealed that, there was no statistically significant difference between the two groups regarding modified gingival index and probing depth around the abutment teeth and implant abutment. Conclusion:  The use of dome shaped abutment or ball and O-ring attachment have the same effect on gingival index and probing depth around natural abutments and implants in Kennedy class I mandibular situations.


Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  

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.


2007 ◽  
Vol 34 (3) ◽  
pp. 222-227 ◽  
Author(s):  
J. H. JORGE ◽  
E. T. GIAMPAOLO ◽  
C. E. VERGANI ◽  
A. L. MACHADO ◽  
A. C. PAVARINA ◽  
...  

Author(s):  
Joana Cabrita ◽  
◽  
Teresa Mendes ◽  
João Martins ◽  
Luís Lopes ◽  
...  

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.


2017 ◽  
Vol 1 ◽  
Author(s):  
Chang Wei Zhi ◽  
Ho Ting Khee

<p class="AbstractContent">Restoring occlusal plane and occlusal vertical dimension (OVD) in patient with existing indirect restorations who must wear removable prostheses may be a challenge to the dental operator. Onlay removable partial dentures (RPD) are used to re-establish the occlusion in conjunction to replace missing teeth without having to remove the existing indirect restoration. This case report described prosthetic rehabilitation with onlay RPD in patients who were partially edentulous and has reduced OVD. The treatment involved a set of provisional RPD to re-establish the OVD, as well as to evaluate the function, esthetic and speech of the patient, followed by definitive onlay RPD. The mandibular onlay RPD was used to provide stable occlusion and to correct the uneven occlusal surface on the abutment teeth. This treatment able to improve patient’s chewing function through a simple removable prosthesis and conservative on the existing restorations.</p>


2020 ◽  
Vol 12 (45) ◽  
pp. 83-90
Author(s):  
Vanessa Malcher da Silva ◽  
Franklin Barbosa da Silva ◽  
Derlyn Henrique Reis Andrade ◽  
Felipe Muniz Aguiar ◽  
Francisco Pantoja Braga

Bucco-sinus communications are common incidences and may be associated with posterior superior tooth extraction. In large maxillary losses, repairing prostheses have a categorical or essential indication. Thus, the objective of this study is to report a clinical case of prosthetic rehabilitation using a removable partial denture (RPD) due to absence of teeth in the posterior maxilla region resulting from a dento-alveolar fracture as consequence of traumatic injury. A 21-year-old male patient attended the dental clinic at Nilton Lins University, reporting masticatory failure, discomfort and sensitivity when eating cold foods in the right upper molars region. After clinical and radiographic examination, it was observed that in addition to the absence of teeth 16, 17 and 18, there was an extensive bone loss in the right posterior hemiarch, with surgically sealed bucosinusal communication. As treatment plan, rehabilitation using a removable partial prosthesis modified and adapted to the acquired defect was proposed. In the consultations, the stages of study model manufacturing, assemble in a semi-adjustable articulator and delineation. The modification of the metallic frame consisted of a larger connector, like a wide palatal plate 10 mm long without relief on the palate, complemented by indirect twinned clamps and direct “T” type on tooth 15. The case was concluded with the steps of metal frame test, teeth assembly, teeth testing, acrylization and installation. The rehabilitation treatment by means of restorative PPR was satisfactory, as it was observed that after its installation, the patient showed extreme satisfaction with the result obtained, with an explicit improvement in chewing and swallowing.


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