Abstract
Background: Treating missing tooth with denture, in some cases, still leave the patient unfulfilled. Good mastication and retention are the main considerations especially for those who require more retentions. In some cases, combination of partial and fixed denture the best approach to achieve better functional and retention results. Purpose: To report compound denture procedures with good mastication and retention as the main considerations. Case: A 43-year-old male patient reported a complaint of chewing difficulty due to missing right upper front teeth caused by work accident and extracted posterior. Patient wanted to wear partial denture to regain good mastication. Case management: Compound denture was chosen to optimize the remaining teeth for better functional and aesthetic. Zirconia all ceramic fixed dentures were fabricated on 13, 14, 15 with an occlusal rest on 13 and 15. Pontic on the 14 used ridge lap design. Discussion: Compound denture is a combination of removable and fixed denture where a minor connector of a removable denture should involve a fixed denture. Fixed denture shall be fabricated first and then removable denture. Conclusion: The definitive restoration of this case was compound denture, which is a combination of partial denture metal frame and fixed denture to restore the good mastication and retention.
Highlights
Other than dental caries, missing tooth is another most common dental problem
Optimal oral health is the main goal of any rehabilitation procedures as it restores chewing function and oral health, as well as maintains such condition throughout patient’s life.[8]
This paper reports a patient with anterior and posterior missing tooth that requires restoration of chewing and aesthetic function
Summary
Other than dental caries, missing tooth is another most common dental problem. Those who experienced partial missing tooth require jaw rehabilitation.[1]. More missing tooth requires more complex treatment.[2] Several rehabilitation techniques can be used to determine the clinical condition comprehensively by considering the patient’s oral health, function, comfort, and aesthetics. This paper reports a patient with anterior and posterior missing tooth that requires restoration of chewing and aesthetic function. Compound denture technique can increase the partial denture retention by utilizing the remaining teeth as fixedfixed bridge.[3] Combining partial denture and fixed-fixed bridge requires operator skills and knowledge to obtain optimal results. This is to report the conducted compound denture treatment in optimizing the remaining teeth so that the patient regains good chewing function and more secure denture application. Clinical and radiographic examination, the diagnosis of tooth was chronic apical periodontitis due to pulp necrose; while the diagnosis of tooth was irreversible pulpitis
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