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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

Provisional restoration.
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Figure 2: Provisional restoration.

Mentions: Preliminary impression was made and then recording base and wax rim were fabricated on the diagnostic casts for VD determination and centric relation (CR) registration. Anatomic landmarks, facial measurements and the resting positions of mandibular jaw were used to determine appropriate vertical dimension for the patient. As the result, it was decided that VD raising was necessary for esthetic and functional restoration. This increased vertical dimension was 4 mm from the tips of incisors. After that, CR registration was taken using bilateral manipulation1, and diagnostic wax up was performed to confirm the need of increasing VD for esthetic and functional rehabilitation. Prior to teeth preparation, composite resin was filled in the incisal and occlusal surfaces of all attrited teeth. This conservative correction was for conservation of destroyed tooth structure and ideal tooth preparation.1 Teeth were prepared using a omni-vac as the preparation guide. To compensate for short clinical crown lengths, axial surfaces were reduced as parallel as possible. The provisional restoration was fabricated based on the diagnostic wax up (Fig. 2). While the patient was wearing the provisional restorations for the 4 months, occlusal stability and TMJ were periodically checked. The patient was satisfied with the provisional restoration. Thus, it was decided to reproduce of temporary VD and CR state on the final restoration. It was performed using the recording base, waxrim and two pattern resin (Dura Lay, Reliance, Illinois, USA) coping crowns. This transfer procedure was described in the Fig. 3.


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)

Provisional restoration.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Provisional restoration.
Mentions: Preliminary impression was made and then recording base and wax rim were fabricated on the diagnostic casts for VD determination and centric relation (CR) registration. Anatomic landmarks, facial measurements and the resting positions of mandibular jaw were used to determine appropriate vertical dimension for the patient. As the result, it was decided that VD raising was necessary for esthetic and functional restoration. This increased vertical dimension was 4 mm from the tips of incisors. After that, CR registration was taken using bilateral manipulation1, and diagnostic wax up was performed to confirm the need of increasing VD for esthetic and functional rehabilitation. Prior to teeth preparation, composite resin was filled in the incisal and occlusal surfaces of all attrited teeth. This conservative correction was for conservation of destroyed tooth structure and ideal tooth preparation.1 Teeth were prepared using a omni-vac as the preparation guide. To compensate for short clinical crown lengths, axial surfaces were reduced as parallel as possible. The provisional restoration was fabricated based on the diagnostic wax up (Fig. 2). While the patient was wearing the provisional restorations for the 4 months, occlusal stability and TMJ were periodically checked. The patient was satisfied with the provisional restoration. Thus, it was decided to reproduce of temporary VD and CR state on the final restoration. It was performed using the recording base, waxrim and two pattern resin (Dura Lay, Reliance, Illinois, USA) coping crowns. This transfer procedure was described in the Fig. 3.

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