scholarly journals Flexible Denture: A Hope for Partial Edentulous Patient- A Case Report

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.

RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 62
Author(s):  
Jeferson Luis de Oliveira Stroparo ◽  
Fabrício Guimarães Rodrigues ◽  
Moira Pedroso Leão ◽  
Dilcele Silva Moreira Dziedzic ◽  
João César Zielak

Introduction: Rehabilitation with the use of overlay-type removable prostheses is indicated in cases of more severe occlusal dysfunction. This type of treatment meets the need for more immediate results, providing aesthetic improvement while the rehabilitation work is being done, while promoting the gradual rehabilitation of occlusal function, re-adjusting the intermaxillary relationship. In addition, the patient can anticipate the final result of the treatment beforethe definitive prosthesis is made. Objective: To show a clinical case of planning and execution of removable overlays. Case report: JCF patient had occlusal dysfunction and presented as main complaint the aesthetic and functional deficiency. He used a removable partial denture (PPR) only on the upper arch. The existing prosthesis did not present stability due to the loss of some dental elements, pillars of the PPR. Two overlays (upper and lower) were indicated because the patient had good periodontal conditions in the remaining dentalelements that were in a favorable position. Necessary exodontia, adequacy of the buccal environment with sub and supragingival scaling and the fabrication of overlays were performed. Conclusion: The use of temporary overlays can provide the necessary time for the patient to adapt to the new occlusal conformation in the period in which the restorations and definitive prostheses are expected to be performed. The use of overlays presented a satisfactoryresult for the proposed treatment, since it promoted the functional rehabilitation, restored aesthetic, even temporarily, and motivated the patient to continue the treatment. According to the patient, there were significant improvements in chewing quality and self-esteem.


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 2 (2) ◽  
pp. 108-112
Author(s):  
Bijay Pandey ◽  
S P Joshi ◽  
D Thapa ◽  
P Shrestha

Use of attachment in providing retention to removable prosthesis is an old treatment modality with better success. It highly improves the comfort, aesthetic, function, and patient satisfaction, especially in the patients with long span edentulism where implants and fixed partial denture (FPD) are not indicated and cast partial dentures are barely satisfactory. Proper diagnosis and treatment planning is necessary for selection of appropriate attachment type. A comprehensive evaluation, multi-disciplinary approach and sequential treatment planning is needed for long-term successful outcome. This case report describes the use of an extra coronal semi-precision attachment to enhance retention of removable prosthesis.


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.


Author(s):  
Guilherme Andrade Meyer ◽  
Francisco Oliveira Júnior ◽  
Luciana Valadares Oliveira ◽  
Bruno Peixoto de Souza ◽  
Felipe Vilasboas Rodrigues ◽  
...  

The construction of a removable partial denture (RPD) aims the replacement of lost dental units, incorporating them into the stomatognathic system, without harming the biomechanical balance. Besides, there is a great challenge today, of combining function and esthetics. The difficulty in achieving esthetic harmony by the presence of metal clasps on labial surfaces of anterior teeth justify studies aimed at solving this problem in the RPDs. There is still the fact that this procedure is simpler and less costly for the patient compared to other treatment options. Therefore, this study presents esthetic solutions for RPD and suggests the comparison among conventional metal clasps on buccal retainers with clips in the palatal area, through three clinical cases of patients with partial absence of anterior dental units. Two prosthetic pieces for each patient were made: 1) prioritizing only the biomechanical principles and 2) considering both the biomechanical and cosmetic principles. It was observed that MDL and Quereilhac clasps are viable alternatives to get esthetics in RPDs of anterior edentulous patients with Class III and IV of Kennedy. Therefore, it can be concluded that there was an improvement in smile of individuals partially edentulous in the anterior region, by not viewing the metal structure on the buccal area of the teeth.


2017 ◽  
Vol 65 (4) ◽  
pp. 380-385
Author(s):  
Marianne Barbosa Salgado de OLIVEIRA ◽  
Maria Giulia Rezende PUCCIARELLI ◽  
José Fernando Scarelli LOPES ◽  
Rafael D’Aquino TAVANO

ABSTRACT The rehabilitation treatment of patients with cleft lip and palate is lengthy and is carried out by various professionals from different areas of healthcare.To this end, planning and specialist knowledge are critical to the success of the treatment, in this way envisioning the aesthetic and functional rehabilitation of the individual in order to integrate them into society. This study consists of a literature review along with the report of a clinical case, demonstrating the treatment performed with the use of a removable partial denture using the abutment teeth treated with milled metal-ceramic crowns and the use of attachments, with a view to promoting the retention and stability of the prosthetic device. With the use of this system as a whole, aimed at improving the facial proportions due to the restoration of vertical dimension of occlusion and adequate lip support, features that are often not present in individuals with cleft lip and palate. In this work, we are seeking to underline the importance of scientific and technical knowledge, combined with a well-executed planning, in order to achieve successful treatment that restores function and aesthetics to the patient, thereby enabling their reintegration into society.


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