Journal List > J Korean Acad Prosthodont > v.55(1) > 1034945

J Korean Acad Prosthodont. 2017 Jan;55(1):38-45. Korean.
Published online Jan 25, 2017.  https://doi.org/10.4047/jkap.2017.55.1.38
© 2017 The Korean Academy of Prosthodontics
Full mouth rehabilitation of the patient with crossed occlusion using removable partial denture restoration: A case report
Yu-Ra Choi, Jeong-Kyung Kang, Na-Hong Kim and Hee-Won Chang
Department of Prosthodontics, Veterans Health Service Medical Center, Seoul, Republic of Korea.

Corresponding Author: Hee-Won Chang. Department of Prosthodontics, Veterans Health Service Medical Center, Dental Hospital, 53, Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul 05368, Republic of Korea. +82 (0)2 2225 3956: Email: cn807@lycos.co.kr
Received May 31, 2016; Revised July 05, 2016; Accepted September 02, 2016.

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

In removable partial denture with crossed occlusion, it is difficult to meet the satisfaction of patient due to variable movement of denture and unfavorable stability under loading. In a case with few unilaterally teeth remaining, additional treatments such as implantation or residual root are required to assure bilaterally stable support. However, due to the medical condition of the patient with hypertension, angina and old age etc., removable partial denture was planned as treatment in this case. Proper diagnosis, accurate analysis and full understanding of the adaptation for neuromuscular system are necessary to recover the vertical dimension of patient from a decreased vertical dimension due to crossed occlusion.

Keywords: Crossed occlusion; Partially edentulous; Removable dental prostheses

Figures


Fig. 1
Intraoral photograph before treatment. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower.
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Fig. 2
Panoramic radiograph before treatment.
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Fig. 3
Diagnostic waxup model.
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Fig. 4
Extraoral photograph.
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Fig. 5
Provisional restoration. (A) upper, (B) frontal, (C) lower.
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Fig. 6
Surveyed crown Fabrication (A) Impression taking for maxillary surveyed crown, (B) Impression taking for mandibular surveyed crown.
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Fig. 7
Surveyed crown try-in. (A) Maxillary surveyed crown try-in, (B) Mandibular surveyed crown try-in, (C) Frontal view.
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Fig. 8
Final impression taking (A) Maxillary border molding, (B) Impression taking for maxillary removable partial denture, (C) Mandibular border molding, (D) Impression taking for mandibular removable partial denture.
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Fig. 9
Jaw relation registration procedure. (A) Centric relation bite taking, (B) Facebow transfer.
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Fig. 10
Final prosthesis. (A) Upper, (B) Right, (C) Frontal, (D) Left, (E) Lower, (F) Right working, (G) Protrusive, (H) Left working.
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Fig. 11
Panoramic radiograph after treatment.
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Fig. 12
TMJ series after treatment. (A) Rt. close, (B) Rt. opening, (C) Lt. close, (D) Lt. opening.
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References
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4. Krol AJ. Clasp design for extension-base removable partial dentures. J Prosthet Dent 1973;29:408–415.
5. Park JH, Jeong CM, Jeon YC, Lim JS. A study on the occlusal plane and the vertical dimension in Korean adults with natural dentition. J Korean Acad Prosthodont 2005;43:41–51.
6. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos 1935;77:851–854.
7. Mohamed GF, El Sawy AA. The role of single immediate loading implant in long Class IV Kennedy mandibular partial denture. Clin Implant Dent Relat Res 2012;14:708–715.
8. Wismeijer D, Tawse-Smith A, Payne AG. Multicentre prospective evaluation of implant-assisted mandibular bilateral distal extension removable partial dentures: patient satisfaction. Clin Oral Implants Res 2013;24:20–27.
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ORCID iDs

Yu-Ra Choi
https://orcid.org/http://orcid.org/0000-0001-9588-0001

Jeong-Kyung Kang
https://orcid.org/http://orcid.org/0000-0003-0017-3553

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