Open Access, Peer-reviewed, Quarterly
pISSN 0301-2875
eISSN 2005-3789
    J Korean Acad Prosthodont. 2019 Jan;57(1):42-48. Korean.
    Published online Jan 22, 2019.
    https://doi.org/10.4047/jkap.2019.57.1.42
    © 2019 The Korean Academy of Prosthodontics
    Case Report

    Rehabilitation of mandibular edentulous patients with a few unilateral remaining teeth using implant-assisted removable partial denture: A case report

    Bhumgey David Lee and Yong-Sang Lee
      • Department of Prosthodontics, Veterans Health Service Medical Center, Seoul, Republic of Korea.
    • Corresponding Author: Yong-Sang Lee. Department of Prosthodontics, Veterans Health Service Medical Center, 53, Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul 05368, Republic of Korea. +82 (0)2 2225 3976: Email: lysang21@hanmail.net
    Received August 10, 2018; Revised September 07, 2018; Accepted September 08, 2018.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    In the case of a patient with a small number of unilateral remaining teeth in the mandible, a restoration with conventional removable partial denture cannot provide sufficient retention and resistance. A harmful stress from the poor stability of denture on remaining teeth occurs due to alveolar bone resorption in edentulous area. Although implant fixed prosthesis can provide multiple benefits over conventional removable partial denture, there are limitations come from anatomic structures and costs. In this case, an implant-assisted removable partial denture (IARPD) with a couple of implants placed in strategic positions can be a treatment modality. The objective of this article is to present a case report of two patients showed satisfactory clinical outcomes during three-year follow-up period describing the fabrication and advantages of removable partial denture assisted by teeth and implants (IARPD) for a patient with a small number of unilateral remaining teeth in mandible using Locator as an implant attachment.

    Keywords
    Implant; Removable partial denture; Unilateral; Locator attachment

    Figures

    Fig. 1
    Panoramic radiograph after implant installation.

    Fig. 2
    Surveying. (A) Parallel to impression coping, (B) Surveying line.

    Fig. 3
    Final prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

    Fig. 4
    Periapicalradiographs of #47. (A) First visit, (B) 3 year follow-up.

    Fig. 5
    (A) Periapical radiographs of impression coping connection, (B) Periapical radiographs of implants after 3 years of follow-up.

    Fig. 6
    Panoramic radiograph after implant installation.

    Fig. 7
    Surveying. (A) Parallel to impression coping, (B) Surveying line.

    Fig. 8
    Final prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.

    Fig. 9
    Periapical radiographs of #35 and #37. (A) First visit, (B) 3 year follow-up.

    Fig. 10
    (A) Periapical radiographs of impression coping connection, (B) Periapical radiographs of implants after 3 years of follow-up.

    References

      1. Obana J. In: Prosthodontic treatment for maxillary and mandibular teeth cross each other. 1st ed. Tokyo: Ishiyaku Publishers; 1994. pp. 2-4.
      1. Bortolini S, Natali A, Franchi M, Coggiola A, Consolo U. Implant-retained removable partial dentures: an 8-year retrospective study. J Prosthodont 2011;20:168–172.
      1. Grossmann Y, Nissan J, Levin L. Clinical effectiveness of implant-supported removable partial dentures: a review of the literature and retrospective case evaluation. J Oral Maxillofac Surg 2009;67:1941–1946.
      1. Schneid T, Mattie P. Implant-assisted removable partial dentures. In: Phoenix RD, Cagna DR, DeFreest CF, editors. Stewart's clinical removable partial prosthodontics. 4th ed. Hanover Park; IL: Quintessence Publishing; 2008. pp. 259-277.
      1. Chikunov I, Doan P, Vahidi F. Implant-retained partial overdenture with resilient attachments. J Prosthodont 2008;17:141–148.
      1. Lee YJ, Leesungbok R, Lee SW, Park SJ, Ahn SJ. Implant supported removable dental prosthesis with magnetic attachment in crossed occlusion: A case report. J Korean Acad Prosthodont 2017;55:53–60.
      1. Morrow RM, Feldmann EE, Rudd KD, Trovillion HM. Tooth-supported complete dentures: An approach to preventive prosthodontics. J Prosthet Dent 1969;21:513–522.
      1. Zitzmann NU, Rohner U, Weiger R, Krastl G. When to choose which retention element to use for removable dental prostheses. Int J Prosthodont 2009;22:161–167.
      1. Cunha LD, Pellizzer EP, Verri FR, Pereira JA. Evaluation of the influence of location of osseointegrated implants associated with mandibular removable partial dentures. Implant Dent 2008;17:278–287.
    MeSH Terms
    Bone Resorption
    Denture, Partial, Removable*
    Dentures
    Follow-Up Studies
    Humans
    Mandible
    Prostheses and Implants
    Rehabilitation*
    Tooth*
    Metrics
    Share
    Figures
    slide
    slide
    slide
    slide
    slide
    slide
    slide
    slide
    slide
    slide

    1 / 10

    PERMALINK