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Abstract
Successful results of treatments using double crown prostheses for the partially edentulous patients who have a few remaining teeth have been reported in several journals. A double crown removable partial denture can be an alternative treatment for the patients with a poor periodontal condition of remaining teeth. Since a double crown removable partial denture can be applied without the risk of surgical operation to the medically compromised patients with a poor periodontal condition which is inadequate for dental implants, it has psychological and economical advantages. In this case, there were sufficient remaining teeth to be restored with fixed prostheses in maxilla, while there were a few remaining teeth with a very poor periodontal condition so that it was almost impossible to restore with a clasp removable partial denture using these remaining teeth in mandible. In addition, the patient had the medical history of surgical operation due to osteomyelitis in the mandibular anterior areas a year ago, thus difficult to conduct an implant placement. The main objective of this report is to introduce our case because a double crown partial denture using a few mandibular remaining teeth showed satisfactory results in functional and esthetical aspects during more than two years follow-up period in this unfavorable condition.
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Fig. 1.
Initial intraoral photograph. (A) Right buccal view, (B) Frontal view, (C) Left buccal view.
Fig. 3.
The preparation of stone cast for provisional restoration and waxup procedure. (A, B) Right and left buccal view of the preparation of stone cast. (C, D) Right and left buccal view of the waxup procedure.
Fig. 4.
Tooth preparation with waxup template. (A) Wax-up template sitting, (B) Maxillary tooth preparation, (C) Mandibular tooth preparation.
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