J Korean Acad Prosthodont.  2018 Jul;56(3):218-226. 10.4047/jkap.2018.56.3.218.

Three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension removable partial denture

• Gil KS
• Yi HG
• Kim KA
• Lee JJ
• Seo JM

• KMID: 2416814
• DOI: http://doi.org/10.4047/jkap.2018.56.3.218

Abstract

In partial edentulous patients, implant-assisted removable partial denture which provide additional retention and support by placing a small number of implants in strategic positions might be suitable treatment. This case of patient with loss of maxillary posterior teeth and moderate to severe wear of residual dentition, three implants were placed in the maxillary anterior edentulous area and then surveyed bridges were made including remaining anterior natural teeth. Posterior edentulous area was restored with distal extension removable partial denture (RPD). In addition, the worn mandibular natural teeth were restored with fixed prostheses. As a result, reduced vertical dimension and collapsed occlusal plane were rehabilitated, and improved functionally and aesthetically. The purpose of this case was to report the results of three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension RPD.

Keyword

Implant assisted removable partial denture; Distal extension removable partial denture; Full mouth rehabilitation

MeSH Terms

Dental Occlusion
Dentition
Denture, Partial, Removable*
Follow-Up Studies*
Humans
Mouth Rehabilitation*
Mouth*
Prostheses and Implants
Tooth
Vertical Dimension

Figure

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  Fig. 1 Pretreatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 2 Pretreatment panoramic radiograph before extraction of teeth #11, 12.

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  Fig. 3 Diagnostic wax-up model. (A) Right movement, (B) Anterior movement, (C) Left movement.

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  Fig. 4 #11, 13, 14 implantation. (A) Panoramic radiograph, (B) Occlusal view.

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  Fig. 5 Provisional restoration setting. (A) Maxillary occlusal view, (B) Frontal view, (C) Mandibular occlusal view.

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  Fig. 6 Surveying before glazing. (A, B) Checking the guide plane, (C, D) Checking the minimal undercut.

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  Fig. 7 Metal framework of removable partial denture. (A) Framework design, (B) Framework try-in.

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  Fig. 8 Post-treatment state. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 9 Final prostheses delivery. (A) Final removable partial denture, (B) Replacement with amalgam of artificial teeth (2 weeks after delivery), (C) Replacement with zirconia prostheses (15 months after delivery).

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  Fig. 10 Artificial teeth and amalgam fracture (3 months after delivery).

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  Fig. 11 Post-treatment periapical standard view of #11, 13, 14 implant. (A) 5 months, (B) 7 months, (C) 1 year, (D) 2 years after delivery.

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  Fig. 12 Post-treatment radiographic view 3 years after delivery. (A) Panoramic view, (B) Periapical standard view of #11, 13, 14 implant.

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