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Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report.

Kim MH, Heo SJ, Kim SK, Koak JY - J Adv Prosthodont (2010)

Bottom Line: According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration.The final restoration was performed after four months of provisional period.The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

ABSTRACT

Background: Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered.

Case description: A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period.

Clinical implication: The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.

No MeSH data available.


Related in: MedlinePlus

Initial intraoral status.
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Figure 1: Initial intraoral status.

Mentions: The patient was a 70 year-old female complaining of inability of mastication and unesthetic facial appearance. She had no specific medical history and dysfunctional habit. Typical features of destroyed dentition were observed in the clinical and radiographic examinations (Fig. 1). However, she had several problems: severe attrition of almost remained teeth, #14 horizontal root fracture, #13 periapical lesion and buccal fistula formation, insufficient interocclusal distance, loss of anterior guidance. In addition, severe ridge resorption resulted in asymmetric and unsupported upper lips. She had fear of surgery, financial limitations and severe ridge resorption of esthetic zone. For these reasons, we decided that not implant prosthesis but removable prosthesis was indicated for her. In this case, the extremely worn anterior dentition was planned to be restored with fixed prosthesis. All attrited teeth were restored with single porcelain-fused gold (PFG) crowns except four lower incisors, which were restored with 4-unit splinted PFG fixed dentures due to their very short crown lengths. The upper missing area was to be restored with rotational path RPD. Finally, the lower missing area was to be restored with conventional RPD. The rotational path RPD is the excellent treatment modality of restoring missing incisors when patients have contraindications for implants or when patients are financially limited.


Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report.

Kim MH, Heo SJ, Kim SK, Koak JY - J Adv Prosthodont (2010)

Initial intraoral status.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2984521&req=5

Figure 1: Initial intraoral status.
Mentions: The patient was a 70 year-old female complaining of inability of mastication and unesthetic facial appearance. She had no specific medical history and dysfunctional habit. Typical features of destroyed dentition were observed in the clinical and radiographic examinations (Fig. 1). However, she had several problems: severe attrition of almost remained teeth, #14 horizontal root fracture, #13 periapical lesion and buccal fistula formation, insufficient interocclusal distance, loss of anterior guidance. In addition, severe ridge resorption resulted in asymmetric and unsupported upper lips. She had fear of surgery, financial limitations and severe ridge resorption of esthetic zone. For these reasons, we decided that not implant prosthesis but removable prosthesis was indicated for her. In this case, the extremely worn anterior dentition was planned to be restored with fixed prosthesis. All attrited teeth were restored with single porcelain-fused gold (PFG) crowns except four lower incisors, which were restored with 4-unit splinted PFG fixed dentures due to their very short crown lengths. The upper missing area was to be restored with rotational path RPD. Finally, the lower missing area was to be restored with conventional RPD. The rotational path RPD is the excellent treatment modality of restoring missing incisors when patients have contraindications for implants or when patients are financially limited.

Bottom Line: According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration.The final restoration was performed after four months of provisional period.The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

ABSTRACT

Background: Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered.

Case description: A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period.

Clinical implication: The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.

No MeSH data available.


Related in: MedlinePlus