Esthetic removable partial denture with implants and resin clasp: Case report

Su-Min Kim; Young-Chan Jeon; Chang-Mo Jeong; Mi-Jung Yun; Jung-Bo Huh

doi:10.4047/jkap.2015.53.1.58

Journal List > J Korean Acad Prosthodont > v.53(1) > 1034853

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim, Jeon, Jeong, Yun, and Huh: Esthetic removable partial denture with implants and resin clasp: Case report

Case Report

J Korean Acad Prosthodont 2015;53(1):58-65.

Published online: 9 February 2015

DOI: https://doi.org/10.4047/jkap.2015.53.1.58

Esthetic removable partial denture with implants and resin clasp: Case report

Su-Min Kim, Young-Chan Jeon, Chang-Mo Jeong, Mi-Jung Yun, Jung-Bo Huh^∗

Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, Republic of Korea

^∗Corresponding Author: Jung-Bo Huh Department of Prosthodontics, School of Dentistry, Pusan National University 20 Geumo-ro, Mulgeum-eup, Yangsan 626-770, Republic of Korea +82 55 360 5146: e-mail, neoplasia96@hanmail.net

Received 6 November 201412 December 2014 Accepted 19 December 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

For the rehabilitation of fully edentulous patients, implant-supported removable partial dentures can be considered as one of the treatment options with complete dentures or implant-supported overdentures. If removable partial dentures are used in combination with a small number of implants placed in strategically important positions, it can offer additional stability, retention and support through implants and reduce a burden of surgical procedures compared with fixed implant-supported prostheses with extensive implant placement. Moreover, the economical benefit can be expected as well. The purpose of this case report is to present a treatment in which an implant-supported removable partial denture was fabricated considering residual alveolar bone status and demands after teeth loss in a patient who had been using a distal extension removable partial denture for a long period of time. In anterior area, fixed prostheses were fabricated with implant placement and in posterior area, short implants provide only support for the removable partial denture. In addition, denture base and clasp were made of thermoplastic acrylic resin. Finally, functionally and aesthetically satisfying treatment results can be achieved.

Keywords: Implant, Implant-supported RPD, Thermoplastic acrylic resin

REFERENCES

1. DeBoer J. Edentulous implants: overdenture versus fixed. J Prosthet Dent. 1993; 69:386–90.

2. McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH, Arbree NS. Classification system for partial edentulism. J Prosthodont. 2002; 11:181–93.

3. von Wowern N, Stoltze K. Pattern of age related bone loss in mandibles. Scand J Dent Res. 1980; 88:134–46.

4. Ganz SD. Combination natural tooth and implant-borne removable partial denture: a clinical report. J Prosthet Dent. 1991; 66:1–5.

5. Mijiritsky E, Karas S. Removable partial denture design involving teeth and implants as an alternative to unsuccessful fixed implant therapy: a case report. Implant Dent. 2004; 13:218–22.

6. Jackson TR. Removable partial overdentures with natural root structure and osseointegrated fixtures. Dent Clin North Am. 1990; 34:711–28.

7. Mijiritsky E. Implants in conjunction with removable partial dentures: a literature review. Implant Dent. 2007; 16:146–54.

8. Starr NL. The distal extension case: an alternative restorative design for implant prosthetics. Int J Periodontics Restorative Dent. 2001; 21:61–7.

9. Watson RM, Davis DM, Forman GH, Coward T. Considerations in design and fabrication of maxillary implant-supported prostheses. Int J Prosthodont. 1991; 4:232–9.

10. Jacobs R, Schotte A, van Steenberghe D, Quirynen M, Naert I. Posterior jaw bone resorption in osseointegrated implant-supported overdentures. Clin Oral Implants Res. 1992; 3:63–70.

11. Jang Y, Emtiaz S, Tarnow DP. Single implant-supported crown used as an abutment for a removable cast partial denture: a case report. Implant Dent. 1998; 7:199–204.

12. Pellecchia M, Pellecchia R, Emtiaz S. Distal extension mandibular removable partial denture connected to an anterior fixed implant-supported prosthesis: a clinical report. J Prosthet Dent. 2000; 83:607–12.

13. Chronopoulos V, Sarafianou A, Kourtis S. The use of dental implants in combination with removable partial dentures: a case report. J Esthet Restor Dent. 2008; 20:355–64.

14. Neill DJ. The problem of the lower free-end removable partial denture. J Prosthet Dent. 1958; 8:623–34.

15. de Freitas RF, de Carvalho Dias K, da Fonte Porto Carreiro A, Barbosa GA, Ferreira MA. Mandibular implant-supported removable partial denture with distal extension: a systematic review. J Oral Rehabil. 2012; 39:791–8.

16. Minoretti R, Triaca A, Saulacic N. The use of extraoral implants for distal-extension removable dentures: a clinical evaluation up to 8 years. Int J Oral Maxillofac Implants. 2009; 24:1129–37.

17. Ohkubo C, Kurihara D, Shimpo H, Suzuki Y, Kokubo Y, Hosoi T. Effect of implant support on distal extension removable partial dentures: in vitro assessment. J Oral Rehabil. 2007; 34:52–6.

18. Ohkubo C, Kobayashi M, Suzuki Y, Hosoi T. Effect of implant support on distal-extension removable partial dentures: in vivo assessment. Int J Oral Maxillofac Implants. 2008; 23:1095–101.

19. Mitrani R, Brudvik JS, Phillips KM. Posterior implants for distal extension removable prostheses: a retrospective study. Int J Periodontics Restorative Dent. 2003; 23:353–9.

20. 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; 67:1941–6.

21. Verri FR, Pellizzer EP, Rocha EP, Pereira JA. Influence of length and diameter of implants associated with distal extension removable partial dentures. Implant Dent. 2007; 16:270–80.

22. 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; 17:278–87.

23. Pellizzer EP, Verri FR, Falco′n-Antenucci RM, Goiato MC, Gennari Filho H. Evaluation of different retention systems on a distal extension removable partial denture associated with an osseointegrated implant. J Craniofac Surg. 2010; 21:727–34.

24. Fueki K, Ohkubo C, Yatabe M, Arakawa I, Arita M, Ino S, Kanamori T, Kawai Y, Kawara M, Komiyama O, Suzuki T, Nagata K, Hosoki M, Masumi S, Yamauchi M, Aita H, Ono T, Kondo H, Tamaki K, Matsuka Y, Tsukasaki H, Fujisawa M, Baba K, Koyano K, Yatani H. Clinical application of removable partial dentures using thermoplastic resin-part I: definition and indication of non-metal clasp dentures. J Prosthodont Res. 2014; 58:3–10.

25. Kim JH, Choe HC, Son MK. Evaluation of adhesion of reline resins to the thermoplastic denture base resin for non-metal clasp denture. Dent Mater J. 2014; 33:32–8.

Fig. 1.

Panoramic view at first visit.

Fig. 2.

Panoramic view after implantation.

Fig. 3.

(A) 6 implants were placed in the lower jaw, (B) Pick-up impression taking with the pick-up impression coping and open individual tray to make master cast.

Fig. 4.

(A) Vertical dimension and centric relation were recorded and transferred to the articulator, (B) Mounted master cast.

Fig. 5.

Customized abutments were transferred to the mouth with the resin jig. (A) Occlusal view, (B) Frontal view.

Fig. 6.

(A) Metal coping for fixed prostheses try-in, (B) Fixed final prostheses.

Fig. 7.

(A) Fixed final prostheses try-in, (B) Impression taking for removable partial denture.

Fig. 8.

(A) Metal framework try-in and bite registration, (B) Centric relation was transferred to the articulator.

Fig. 9.

Final prostheses. (A) Maxillary conventional removable partial denture, (B) Mandibular removable partial denture with metal caps for posterior implants, (C) Mandibular removable partial denture with anterior fixed implant-supported restoration and thermoplastic acrylic resin clasp.

Fig. 10.

Intraoral view of patient's with final prostheses. (A, E) Occlusal view of maxilla and mandible, (C) Frontal view, (B, D) Lateral view.

Fig. 11.

(A) Final intraoral view after 6 months, (B) Radiographic view after 6 months.

TOOLS

Similar articles