Unique, Cost-effective and Retentive Removable Prosthesis to Rehabilitate Long Span Kennedy&#39;s Class I Edentulism with Custom Attachment System: A Case Report

ABSTRACTBackground: Broken instruments affect the outcome and prognosis. A broken instrument will prevent the procedure of cleaning and shaping, irrigation and obturation of the root canal on the obstructed root section causing failure in endodontic treatment. There are some treatments for broken instrument including retrieving a broken fragment file and bypassing it on the root canal. the aim of the case report aims to provide an alternative for retrieving broken instruments using the H-file braiding technique. Method: A 38-year-old female patient came to the Dental Conservation Clinic RSGM Prof. Soedomo FKG UGM. A patient got a history of initial root canal treatment in a clinic, which ended with a separated file on canine teeth left upper. No complain pain, from the investigation radiographic there is an instrument broken in half apical. The teeth 23 seen temporary restoration cavity class I is still in good. Retrieving broken instruments using the H-file braiding technique, preparation with step back techniques, obturation with warm vertical condensation technique and class I composite resin restorations with fiber-reinforced retention. Result: No complain pain after 2 weeks retrieving broken instrument.Conclusion: The technique of the H-file braiding technique is one technique to retrieve a broken instrument, this procedure is simple, cost-effective, harmless to the teeth and gives root canal sealing.

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Split It! Let’s Break That Stress - A Case Report

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/372 ◽

2021 ◽

Vol 10 (23) ◽

pp. 1803-1806

Author(s):

Abhijit Patil ◽

Tanya Sethi ◽

Mallikarjun H. Doddamani ◽

Rutvi Shah ◽

Anandkumar G. Patil ◽

...

Keyword(s):

Case Report ◽

Cost Effective ◽

Individual Case ◽

Free Standing ◽

Time Saving ◽

Digital Dentistry ◽

Fixed Prosthodontics ◽

Removable Prosthesis ◽

Ultimate Failure ◽

The Right

Fixed prosthodontics is a zestful and progressing branch because of the numerous advantages that it has over removable prosthesis. The oral cavity for each scenario has its own complications and hence every individual case has its own approach keeping in mind the comfort, function, and aesthetics of the patient. In some cases, we come across an edentulous space on both the sides, creating a lone free-standing tooth. This clinical scenario with a pier abutment needs to be taken into consideration during restoration of the arch as the masticatory forces applied on the abutment teeth at one end of fixed partial denture (FPD) can result in the pier abutment acting as a fulcrum resulting in ultimate failure of the FPD and trauma to the periodontium. To overcome this complication, use of non-rigid connectors is advised. Many innovative clinical designs with modifications to the conventional bridges have been proposed over the years to undertake such a scenario most diligently. Selection of the right type of connector is imperative for the success while undertaking such a case. This era is of digital dentistry; hence, an innovative, time saving, and cost-effective way of fabricating non-rigid connector using Exocad software and 3D printing of split pontic FPD is presented in this case report.

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Removable Prosthesis with Extra Coronal Attachment for the Management of Distal Extension Case: A Case Report

Journal of Nepalese Prosthodontic Society ◽

10.3126/jnprossoc.v1i2.23869 ◽

2018 ◽

Vol 1 (2) ◽

pp. 100-104

Author(s):

Dipak Thapa ◽

P. Shrestha

Keyword(s):

Patient Satisfaction ◽

Case Report ◽

Clinical Practice ◽

Daily Clinical Practice ◽

Prosthetic Rehabilitation ◽

Partial Denture ◽

Long Span ◽

Fixed Partial Denture ◽

Removable Prosthesis ◽

Distal Extension

Even though dental attachments have a long successful history, many of the dental practioners are unaware about its benefits in daily clinical practice. 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. This case report describes the clinical and the laboratory steps for prosthetic rehabilitation of a patient with maxillary distal extension partially edentulism with cast partial denture using Preci Vertex attachments.

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Use of a Semi-Precision Attachment to Fabricate A Removable Partial Denture: A Case Report

Journal of Nepalese Prosthodontic Society ◽

10.3126/jnprossoc.v2i2.31218 ◽

2019 ◽

Vol 2 (2) ◽

pp. 108-112

Author(s):

Bijay Pandey ◽

S P Joshi ◽

D Thapa ◽

P Shrestha

Keyword(s):

Case Report ◽

Treatment Planning ◽

Comprehensive Evaluation ◽

Successful Outcome ◽

Removable Partial Denture ◽

Partial Denture ◽

Long Span ◽

Fixed Partial Denture ◽

Removable Prosthesis ◽

Proper Diagnosis

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.

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