J Dent Rehabil Appl Sci.  2020 Jun;36(2):121-127. 10.14368/jdras.2020.36.2.121.

Maxillary implant-supported fixed prosthesis engaged by distal-extension removable partial denture for 10 years: a case report

• Ryu R
• Park YH
• Oh Ws
• Lee JJ
• Park Jm

• KMID: 2503808
• DOI: http://doi.org/10.14368/jdras.2020.36.2.121

Abstract

Prosthodontic decision and management should be considered the patient’s aesthetic need for anterior teeth in maxillary edentulism. This case report describes 10-year clinical outcome of a maxillary edentulous patient was rehabilitated by means of an implant-supported fixed dental prosthesis (ISFDP) for the anterior region and a distal-extension removable partial denture (RPD) for the posterior region. The ISFDP was designed to splint 4 endosseous implants as one unit and engaged by the RPD. The edentulous mandible was restored by means of an implant-supported overdenture. Over the course, no major adverse event occurred other than wear, discoloration, and breakage of resin veneers and artificial teeth.

Keyword

edentulism, implant supported dental prosthesis; removable partial denture; dental implant; complication

Figure

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  Fig. 1 (A) Maxillary implant-supported fixed partial denture and removable partial denture opposing mandibular implant overdenture placed, (B) Four occlusal rests were placed on premolar and molar. Ninety-gauge wrought wire retentive clasps were engaged 0.01-inch undercut. Major connector was modified palatal strap.

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  Fig. 2 No pathologic sign was shown in postoperative periapical radiographs after 30 months.

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  Fig. 3 (A) Ten-yr postoperative periapical radiographs revealing stable implants with minimal bone loss, (B) Occlusal view of edentulous maxilla demonstrating minimal tissue reaction around the implant.

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  Fig. 4 (A) Ten-yr postoperative periapical radiographs revealing stable implants with minimal bone loss, (B) Occlusal view of edentulous maxilla demonstrating minimal tissue reaction around the implant.

Reference

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