Journal List > J Korean Acad Prosthodont > v.56(2) > 1034972

Park, Min, Yang, Park, and Park: Clinical application of mandibular removable partial denture using implant-supported surveyed crown: A case report

Abstract

When making conventional removable partial denture for the remaining teeth where the remaining teeth are only on one side, rotation of the denture occurs -in function- on the axis of the connected remaining teeth. If the edentulous portion is long, it becomes harder to obtain retention and stability for the abutment as the importance of the mucous membrane support is elevated. Such movements of denture decrease denture retention and stability, put excessive stress on the abutment, and give bad influence on periodontal health. Therefore, additional implant placement can be of a good choice in gaining additional retention and stability for partial denture. Thus hereby we report this clinical case as successful results were obtained by placing implants symmetrical to the remaining teeth and putting implant-supported surveyed crowns on the implants, allowing the partial denture to be designed to accept varying components and to have suitable path of insertion.

Figures and Tables

Fig. 1

Initial panoramic radiograph.

jkap-56-154-g001
Fig. 2

Initial intraoral photographs. (A) Right view, (B) Frontal view, (C) Left view.

jkap-56-154-g002
Fig. 3

Diagnostic wax-up. (A) Right view, (B) Frontal view, (C) Left view.

jkap-56-154-g003
Fig. 4

Provisional prosthesis. (A) Right view, (B) Frontal view, (C) Left view.

jkap-56-154-g004
Fig. 5

(A) Implant placement, (B) PFM surveyed crown try-in.

jkap-56-154-g005
Fig. 6

(A) Mandibular border molding, (B) Master cast fabrication, (C) Framework fabrication.

jkap-56-154-g006
Fig. 7

(A) Face bow transfer, (B) Framework try-in.

jkap-56-154-g007
Fig. 8

Wax denture try-in. (A) Right view, (B) Frontal view, (C) Left view.

jkap-56-154-g008
Fig. 9

Definitive prosthesis. (A) Right view, (B) Frontal view, (C) Left view.

jkap-56-154-g009

References

1. Kim SK, Yoo SY, Park IP, Lee JH. Implants in conjunction with removable partial denture. J Korean Dent Assoc. 2011; 49:77–84.
2. 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; 23:1095–1101.
3. Schneid T, Mattie P. Implant-assisted removable partial dentures. In : Phoenix RD, Cagna DR, DeFreest CF, editors. Stewart's clinical removable partial prosthodontics. Chicago: Quintessence;2008. p. 259–277.
4. Ryu BG, Choi WS, Cho HJ, Kim KK. The use of an implant fixed partial denture as abutment teeth for removable partial denture in unilateral edentulous patient: A cases report. Implantology. 2016; 20:24–34.
5. Park JM, Koak JY, Kim SK, Joo JH, Heo SJ. Consideration for the combination treatment of removable partial denture and implant. Implantology. 2015; 19:104–111.
6. 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; 34:52–56.
crossref
7. 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.
crossref
8. 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; 83:607–612.
crossref
9. Starr NL. The distal extension case: an alternative restorative design for implant prosthetics. Int J Periodontics Restorative Dent. 2001; 21:61–67.
10. 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; 20:355–364. discussion 365.
crossref
11. 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.
12. 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; 16:270–280.
crossref
13. Wang TM, Leu LJ, Wang J, Lin LD. Effects of prosthesis materials and prosthesis splinting on peri-implant bone stress around implants in poor-quality bone: a numeric analysis. Int J Oral Maxillofac Implants. 2002; 17:231–237.
TOOLS
ORCID iDs

Jae-Ho Park
https://orcid.org/0000-0002-8737-7470

Byung-Kwee Min
https://orcid.org/0000-0003-2756-2284

Hong-So Yang
https://orcid.org/0000-0002-9138-4817

Chan Park
https://orcid.org/0000-0001-5729-5127

Sang-Won Park
https://orcid.org/0000-0002-9376-9104

Similar articles