scholarly journals T-Bar clasp-retained removable partial denture as an alternative to implant-based prosthetic treatment

2008 ◽  
Vol 19 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Osvaldo Luiz Bezzon ◽  
Mariane Gonçalves ◽  
Valéria Oliveira Pagnano

This article reports the case of a 55-year-old female patient who presented with unsatisfactory temporary crowns in the right mandibular premolars and molars, and a premolar-to-molar fixed partial denture in the left side. The clinical and radiographic examinations revealed a fracture of the left first premolar that was a retainer of the fixed partial denture and required extraction. Initially, the acrylic resin crowns were replaced by new ones, and a provisional RPD was made using acrylic resin and orthodontic wire clasps to resolve the problem arising from the loss of the fixed partial denture. Considering the patient's high esthetic demands, the treatment options for the definitive prosthetic treatment were discussed with her and rehabilitation with implant-supported dentures was proposed because the clinical conditions of the residual alveolar ridge were suitable for implant installation, and the patient's general health was excellent. However, the patient did not agree because she knew of a failed case of implant-retained denture in a diabetic individual and was concerned. The patient was fully informed that implant installation was the best indication for her case, but the arguments were not sufficient to change her decision. The treatment possibilities were presented and the patient opted for a clasp-retained removable partial denture (RPD) associated with the placement of crowns in the pillar teeth. The temporary RPD was replaced by the definitive RPD constructed subsequently. Although RPD was not the first choice, satisfactory esthetic and functional outcomes were achieved, overcaming the patient's expectations. This case report illustrates that the dentist must be prepared to deal with situations where, for reasons that cannot be managed, the patient does not accept the treatment considered as the most indicated for his/her case. Alternatives must be proposed and the functional and esthetic requirements must be fulfilled in the best possible manner.

2012 ◽  
Vol 9 (1) ◽  
pp. 28-31
Author(s):  
Md Saiful Islam ◽  
Md Zahedul Islam Nizami ◽  
Aleya Begum ◽  
Rubaba Ahmed ◽  
Muntasir Al Mamun

Loss of occlusal vertical dimension is a frequently observed problem in the middle aged and aged population who intends to retain their natural dentition. This type of patient has very few treatment options one of which is overdenture. In this case report, a patient was treated with overlay removable partial denture for restoring the lost vertical dimension. This was provided as interim prosthesis. The follow up was done to observe the fulfillment of desired results. The clinical and laboratory procedure is described briefly. The treatment used for this case is cost effective and conservative solution for esthetic and functional rehabilitation. Since the material is acrylic resin, long term wear resistance is crucial for success of treatment. The rehabilitation would be fixed prosthesis with newly adjusted vertical dimension.DOI: http://dx.doi.org/10.3329/cdcj.v9i1.11835 City Dental College Journal Vol.9(1) 2012 28-31


2019 ◽  
Vol 3 (8) ◽  
pp. 267-270
Author(s):  
Gitanjali Mago ◽  
Puneet Sharma

The various treatment options for the aesthetic and functional rehabilitation of partially edentulous patients are conventional fixed partial dentures, implant supported fixed partial dentures and removable partial dentures. In some cases, removable partial dentures may be the only choice which is available other than implants and fixed partial denture. Removable cast partial dentures are used as definitive removable prostheses when indicated, but location of clasps is not aesthetically pleasant. So, when patient is concerned about aesthetics, flexible partial dentures which is aesthetically superior may be considered. But for the success of flexible removable partial denture, proper diagnosis, treatment planning, insertion, wearing and maintenance of this prosthesis is very important.


2021 ◽  
pp. 1-3
Author(s):  
Manisha Yadav ◽  
◽  
Shilpi K Pandey ◽  
Poonam Agrawa ◽  
Devikarani S Khurpade ◽  
...  

Progressive carious and inflammatory involvement of teeth if left untreated will ultimately lead the loss of tooth structure in the oral cavity. Earlier clinician was left with no option but extraction of such hopeless teeth followed by replacement with fixed partial denture, removable partial denture or implants. Hemisection is a removal of compromised root and the associated crown portion. It is one of the treatment options for preserving remaining part of molar having sound periodontium. This case report presents a patient in which distal half of the teeth was carious but with sound periodontium and the periodontally compromised mesial root was resected, and after healing, fixed dental prosthesis was delivered to restore proper form and function


2019 ◽  
Vol 5 (3) ◽  
Author(s):  
Arthi Ambayiram ◽  
Ahila Singaravel Chidembaranathan ◽  
Muthukumar Balasubramanium

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.


2004 ◽  
Vol 91 (4) ◽  
pp. 392-394 ◽  
Author(s):  
Masanori Fujisawa ◽  
Koji Adachi ◽  
Shoko Tsuruta ◽  
Kanji Ishibashi

2013 ◽  
Vol 39 (5) ◽  
pp. 609-614
Author(s):  
Sema Murat ◽  
Ayhan Gurbuz ◽  
Kivanc Kamburoglu

This case report details a 65-year-old male patient who underwent mandibular resection and radiotherapy as treatment for squamous cell carcinoma of the right mandible. The patient was rehabilitated with an implant-supported fixed partial denture and a maxillary occlusal ramp. The patient has been wearing his prosthesis for 2 years with no complaints.


1970 ◽  
Vol 11 (1) ◽  
pp. 57-60
Author(s):  
D Sunil ◽  
P Rajesh ◽  
D Neha

The realization of esthetic objectives and functional demands in the reconstruction of severely compromised dentition represents considerable clinical problems. This clinical report represents the prosthetic management of a severe dentofacial deformity with compromised periodontal status. Treatment objectives were based on Aesthetics enhancement, sociopsychological support of the patient, restoration of form function, phonetics and comfort. Following which extraction of upper incisors and alveoloplasty done. An immediate removable partial denture was fabricated, considering aesthetics, phonetics and comfort of the patient followed by replacement of incisors by metal- ceramic fixed partial denture done. Clinical relevance: prosthetic management of severlymalaligned natural maxillary anterior teeth by fixed partial denture, considering aesthetics and phonetics of the patient. Treatment objectives: Aesthetics enhancement, sociopsychological support of the patient, restoration of form function, phonetics and comfort. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9825 BJMS 2012; 11(1): 57-60


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