J Korean Acad Prosthodont.  2021 Jul;59(3):359-369. 10.4047/jkap.2021.59.3.359.

Restoration of IARPD in partially edentulous patients with bone defects due to osteomyelitis treatment

Affiliations
  • 1Department of Prosthodontics, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea

Abstract

Implant prostheses and removable partial dentures are mainly used as treatment methods for partial edentulous patients who have lost a number of teeth. The implant-assisted removable partial denture (IARPD) is strategically selected. The defect in maxillofacial structure due to osteomyelitis, a type of facial bone infection, causes dysfunction such as mastication, swallowing, and pronunciation, as well as social and psychological effects, so a removable restoration is required to restore the supporting tissue. Design of abutment and partial dentures is an essential factor in the success of treatment. In this case, IARPD, which has superior retention and stability compared to traditional removable partial dentures, can have a good prognosis. In a partial edentulous patient with bone defects due to osteomyelitis treatment, the stability of the denture was secured with IARPD restoration. Moreover, maintenance problem that may occur in the future was minimized by providing an appropriate denture design and occlusal scheme through several provisional restorations. This case can be expected to have a favorable prognosis in the long term.

Keyword

Implant-assisted removable partial denture (IARPD); Osteomyelitis; Provisional denture; Surveyed crown
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