J Korean Acad Prosthodont.  2019 Jul;57(3):254-262. 10.4047/jkap.2019.57.3.254.

The use of implant surveyed fixed prosthesis for removable partial denture with a few unilateral remaining teeth: A case report

• Park J
• Kim JE
• Park JM
• Kim J
• Shim JS

• KMID: 2453780
• DOI: http://doi.org/10.4047/jkap.2019.57.3.254

Abstract

As implant can be covered by National Health Insurance Service (NHIS), it was increased the interest in the removable partial denture (RPD) with the surveyed fixed prosthesis supported by implant fixture. To achieve predictable result, it needs the prudent implant planning by basic principles of RPD and patient's residual ridge. This 67 years old age male had a few unilateral remaining teeth, and hoped the treatment covered by NHIS. As using CAD software, the position of implant is planned with regarding to occlusal table of provisional denture, basic principles of RPD, and resorbed residual ridge. The definitive prostheses can ensure the stability and retention of removable prosthesis. When planning implant fixed prostheses, the digital technique was utilized to consider basic principle of RPD and resorbed residual ridge. As a result, it provided satisfactory prostheses.

Keyword

Removable partial denture; Implant surveyed fixed prosthesis; A few remaining teeth

MeSH Terms

Denture, Partial, Removable*
Dentures
Hope
Humans
Male
National Health Programs
Prostheses and Implants*
Tooth*

Figure

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  Fig. 1 Intraoral photo taking. (A)1st visit, (B) Provisionalization.

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  Fig. 2 Implant planning. (A) Frontal view, (B) Occlusal view, (C) Frontal view with implant axis, (D) Superimposition with temporary denture, (E, F) #41 area, (G) #42 area, (H) #44 area.

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  Fig. 3 (A) Master cast of maxilla, (B) Final impression of maxilla, (C) Final impression of mandible, (D) Master cast of mandible.

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  Fig. 4 Implant abutment design. (A) Lateral view, (B) Occlusal view.

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  Fig. 5 Esthetic try-in. (A) Abutment try-in, (B) Implant surveyed crown try-in, (C) Occlusal view of mandible, (D) Frontal view.

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  Fig. 6 Pick up impression. (A) Final impression, (B) Master cast.

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  Fig. 7 Altered cast technique. (A) Tray with framework, (B) Border molding, (C) Final impression, (D) Altered cast, (E) Mounted on articulator.

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  Fig. 8 Intraoral photo taking of definitive prosthesis.

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  Fig. 9 Transfer crown design from implant planning to final prosthesis. (A) Implant planning, (B) Final prosthesis design on CAD software.

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