J Adv Prosthodont.  2010 Jun;2(2):46-49. 10.4047/jap.2010.2.2.46.

Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

• Kim MH
• Heo SJ
• Kim SK
• Koak JY

• KMID: 1456754
• DOI: http://doi.org/10.4047/jap.2010.2.2.46

Abstract

BACKGROUND
Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered. CASE DESCRIPTION: A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period. CLINICAL IMPLICATION: The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.

Keyword

Esthetic restoration; Occlusal wear; Rotational path RPD; Vertical dimension

MeSH Terms

Dentistry
Dentition
Denture, Partial, Removable
Esthetics
Humans
Mouth
Mouth Rehabilitation
Tooth Attrition
Vertical Dimension

Figure

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  Fig. 1 Initial intraoral status.

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  Fig. 2 Provisional restoration.

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  Fig. 3 Transfer procedure of provisional vertical dimension to final restoration. A: Stable bite registration with resin coping crowns, B: Lower recording base and wax rim were used for posterior bite registration, C: Upper anterior recording base and wax rim were used for anterior bite registration.

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  Fig. 4 The surveying procedure for lateral rotational path RPD; following the first surveying procedure at a zero-degree tilt, the diagnostic cast was tilled upward until the mesial undercuts on the anterior abutments were eliminated for the second surveying.

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  Fig. 5 A: Upper rotational path RPD, B: Lower conventional RPD.

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  Fig. 6 Final prostheses; the stable occlusion was established.

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