Abstract
Management of partially edentulous patients can still be a prosthodontic challenge especially for extensive maxillary Kennedy Class I. Replacing the missing teeth using conventional fixed and removable partial dentures (FPD/RPDs) associated with extracoronal attachments remains sometimes the only remedy for partial edentulism. The use of osseointegrated dental implants turn the possibilities of prosthetic reconstruction endless, but what about patients with absolute contraindication of surgery. It is therefore the objective of this article to describe the treatment sequence and technique for the use of attachments in therapy combining FPD/RPD.
Highlights
When the use of conventional fixed partial dentures(FPDs) and/or dental implants is limited or not indicated, association between FPD and removable partial denture (RPD) by means of attachments becomes an important alternative to a conventional clasp-retained RPD.[1, 2]. These retainers have been recommended as an alternative for abutment teeth of RPD, permitting the placement of rests and retentive clasps on the anterior teeth at sites that do not interfere with aesthetic appearance, making rehabilitation more acceptable to patients.[3, 4]
After analysis of the diagnostic casts mounted on a semi adjustable articulator (Figure 3), treatment planning consisted of a maxillary rehabilitation by means of an association between tooth-supported FPD and RPD with attachments. (Figure 4)
- Compromised remaining teeth that cannot be used as abutments for traditional RPDs, and must be splinted for better resistance
Summary
When the use of conventional fixed partial dentures(FPDs) and/or dental implants is limited or not indicated, association between FPD and removable partial denture (RPD) by means of attachments becomes an important alternative to a conventional clasp-retained RPD.[1, 2]These retainers have been recommended as an alternative for abutment teeth of RPD, permitting the placement of rests and retentive clasps on the anterior teeth at sites that do not interfere with aesthetic appearance, making rehabilitation more acceptable to patients.[3, 4].
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