Management of long span partially edentulous maxilla with fixed removable denture prosthesis

Abstract

Restoration of a long span partially edentulous maxilla with tooth supported prosthesis is challenging because of inherent anatomic limitations and unfavourable biomechanics present after the loss of teeth. A tooth supported fixed-removable prosthesis is a treatment option for restoration of such long span partially edentulous maxillary arches. This prosthesis meets the requirements for esthetics, phonetics, comfort, and hygiene, as well as favourable biomechanical stress distribution to the remaining natural tooth abutments. This article presents a procedure for fabrication of a fixed-removable prosthesis that has cement-retained custom cast bar metal substructure and a ball attachment retained removable superstructure prosthesis.

Oral Rehabilitation Therapies in a Patient with Facial Dysmorphia and Psychiatric Profile - Clinical Case Report

“…The facial asymmetry is a major aesthetic deficiency, but thanks to modern dentistry it can be successfully resolved through a contemporary prosthetic approach (Cristache et al, 2019;) in our case not from all points of view (Loue & Sattar, 2020;Popa & Dobrescu, 2017) but trying to draw attention to other aspects and thus improving the general appearance in correlation with the treatment of existing general pathologies (Jeyavalan et al, 2012;Maroulakos et al, 2017).…”

Prosthetic rehabilitation of mandibular defects with fixed-removable partial denture prosthesis using precision attachment: A twin case report

“…[ 6 ] It is used principally when the placement of the pontics of an FPD would compromise esthetic appearance and when the abutments are capable of supporting an FPD, but the residual ridge has undergone extensive alveolar bone and soft tissue loss. [ 4 ]…”

“…Cheatham et al .,[ 2 ] Mueninghoff et al .,[ 3 ] and Jain[ 5 ] have described techniques for oral rehabilitation of missing anterior teeth with ridge defect using Andrew's bar system. Jeyavalan et al .,[ 4 ] Shetty et al .,[ 9 ] Patel et al .,[ 10 ] and Wangoo et al . [ 11 ] have described techniques for oral rehabilitation of missing teeth with ridge defect using either prefabricated or custom-made attachment.…”

“…This hybrid prosthesis fulfills the objectives of the rehabilitation such as support, stability, and retention characteristics similar to a fixed prosthesis and esthetics and hygiene maintenance of a removable prosthesis. [ 2 3 4 5 ]…”

The Effect of Denture Cleansing Solutions on the Retention of Precision Attachments: An In Vitro Study

“…A combination of fixed and removable partial dentures (RPD) with precision attachments are still used to restore function and esthetics for patients with missing teeth [ 2 ]. With this option, time consuming, invasive, and costly surgical procedures may be eliminated [ 3 , 4 , 5 ]. A precision attachment is used instead of clasps for fixation, retention, and stabilization of a dental prosthesis [ 6 ].…”