scholarly journals Esthetic Rehabilitation with a Cast Partial Denture

2017 ◽  
Vol 12 (4) ◽  
pp. 189-192
Author(s):  
Suraksha Shrestha ◽  
Sanjay Sah

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.

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.


Author(s):  
Neha Hajira ◽  
Pulkit Khandelwal ◽  
HS Shashidhar ◽  
Harleen Sachdeva ◽  
Sumit Khare

ABSTRACT Reconstruction of large anterior ridge defects is often a prosthodontic challenge. Such defects require closure of the defect along with the replacement of the missing teeth so as to achieve proper speech and esthetics. Classifying these defects in the preoperative examination helps to diagnose and predict the prognosis and technical difficulties to be encountered. The aim and purpose of this case report is to describe the management of one such case with missing anterior teeth and severe anterior ridge defects. We also describe the process of fabrication of Andrew's bridge (a fixed-removable partial denture) to treat this Siebert's class III anterior ridge defect. How to cite this article Hajira N, Khandelwal P, Shashidhar HS, Sachdeva H, Khare S. Andrew's Bridge: Achieving Esthetics with a Prosthetic Alternative-Managing Severe Anterior Ridge Defects in Operated Case of Cleft Lip and Palate. Int J Prosthodont Restor Dent 2016;6(4):93-97.


2012 ◽  
Vol 9 (1) ◽  
pp. 23-27
Author(s):  
Aleya Begum ◽  
Md Saiful Islam ◽  
Rubaba Ahmed ◽  
Atiquzzaman Khan

Overlay removable partial denture can be used as an interim prosthesis for the patients who have lost their occlusal vertical dimension due to moderate to severe attrition resulting in functional and esthetic problems. This prosthesis is believed to allow neuromuscular adjustments to a newly adjusted VDO and also to observe the function and esthetics. ORPDs provide reversible and relatively inexpensive treatment for the patients who have limitations. In this case report, a patient was treated with overlay removable partial denture for restoring the lost vertical dimension. This article reviews indication, advantage, disadvantages of ORPDs. Though there are esthetic and functional limitations with potential risk of material fracture, all patients with severely worn dentition with decreased VDO and missing teeth should be offered this treatment option. Regular recall and maintenance visit are essential for long term success of ORPDs.DOI: http://dx.doi.org/10.3329/cdcj.v9i1.11834 City Dental College Journal Vol.9(1) 2012 23-27


2014 ◽  
Vol 658 ◽  
pp. 389-394
Author(s):  
Oana Cella Andrei ◽  
Livia Alice Tanasescu ◽  
Ruxandra Margarit ◽  
Mircea Horia Tierean

The paper presents the study of the stresses and the displacements that appear in different areas of the removable partial denture (RPD) with extracoronal attachments under occlusal loading, using FEA. The first step was to create the 3D model of a RPD with ball attachments in case of a class I Kennedy edentulous patient with all six anterior teeth as abutments. All materials were considered homogeneous, isotropic and having linear elasticity. There were assumed two types of constraints: in the first one the model is fixed under the action of the mastication forces; in the second one the rotational movement of the denture’s saddles in the sagittal plane was simulated, towards the edentulous ridge. In the first case, the 3D model and FEA were developed using Autodesk Inventor 2013 software. In the second case, the FEA was done using Autodesk Algor Simulation software. The loading of the model was symmetrically applied, considering the magnitude of the tangential and normal oral forces determined by Las Casas et al. These forces were applied to all the PM1, PM2, M1 and M2 pairs. Each loading case was analysed separately. The results of the two constrain situations are presented graphically, comparatively and show that the amount of the saddle displacement depends on the application area of the mastication force. Maximum displacement was computed at the application of the mastication forces on the M2 and decreases as the force is applied more mesial. The amount of the major connector’s deformation is very little influenced by the site of the force. The largest displacement of the denture was recorded at the distal end of the saddle, with values ​​that depend on the site of the forces. The existence of the rotational movement of the denture’s free end saddles in the sagittal plane, towards the edentulous ridge, changes the values ​​of accumulated stresses in denture during mastication and its Von Mises stress peaks. This analysis can be use to establish the principles of planning and designing the RPD with ball attachments having in mind to minimize the number of repairs caused by fractures of the components.


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.


2017 ◽  
Vol 11 (01) ◽  
pp. 135-140 ◽  
Author(s):  
Ayesha Hanif ◽  
Saima Qureshi ◽  
Zeeshan Sheikh ◽  
Haroon Rashid

ABSTRACTAfter tooth loss, an individual may seek tooth replacement so that his/her function and esthetics could be restored. Clinical prosthodontics, during the past decade, has significantly improved and developed according to the advancements in the science and patient's demands and needs. Conventional options in prosthodontics for substituting a missing single tooth include the removable partial denture, partial and full coverage bridgework, and resin-bonded bridgework. Dental implants have gained increasing popularity over the years as they are capable of restoring the function to near normal in both partial and completely edentulous arches. With substantial evidence available, fixed implant-supported prosthesis are fully acknowledged as a reliable treatment option for the replacement of single or multiple missing teeth nowadays. While dental implants are increasingly becoming the choice of replacement for missing teeth, the impediments associated with them are progressively emerging too.


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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