Rehabilitation of long-span Kennedy class IV partially edentulous patient with a custom attachment-retained prosthesis
Identifieur interne : 006666 ( Ncbi/Merge ); précédent : 006665; suivant : 006667Rehabilitation of long-span Kennedy class IV partially edentulous patient with a custom attachment-retained prosthesis
Auteurs : Pavithra Kumar Shetty [Inde] ; Bharath Y. Shetty [Inde] ; Mayur Hegde [Inde] ; Bharath M. Prabhu [Inde]Source :
- The Journal of the Indian Prosthodontic Society [ 0972-4052 ] ; 2016.
Abstract
The rehabilitation of a patient in the Kennedy class IV situation demands biomechanical balance and aesthetic improvement. The long-span condition complicates the problem because of the unavailability of sufficient number of abutments to support the prosthesis. Conventional removable prosthesis and fixed partial denture are not advised for the same reason. This report describes a novel technique for the fabrication of a custom attachment to retain prosthesis. An acrylic resin removable partial denture (RPD) is retained by a custom attachment. The patrix part of the custom attachment is fabricated using molar bands, prefabricated circumferential clasp, and straight die pins. The matrix part of the attachment is constituted by the plastic sleeves of the straight die pins, which are embedded inside the tissue-fitting surface of the prosthesis. This article describes an inexpensive custom attachment for rehabilitating the long-span Kennedy class IV situation. The entire technique is reversible, inexpensive, and demands less skill compared to semi-precision and precision attachments.
Url:
DOI: 10.4103/0972-4052.155045
PubMed: 27134433
PubMed Central: 4832811
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<front><div type="abstract" xml:lang="en"><p>The rehabilitation of a patient in the Kennedy class IV situation demands biomechanical balance and aesthetic improvement. The long-span condition complicates the problem because of the unavailability of sufficient number of abutments to support the prosthesis. Conventional removable prosthesis and fixed partial denture are not advised for the same reason. This report describes a novel technique for the fabrication of a custom attachment to retain prosthesis. An acrylic resin removable partial denture (RPD) is retained by a custom attachment. The patrix part of the custom attachment is fabricated using molar bands, prefabricated circumferential clasp, and straight die pins. The matrix part of the attachment is constituted by the plastic sleeves of the straight die pins, which are embedded inside the tissue-fitting surface of the prosthesis. This article describes an inexpensive custom attachment for rehabilitating the long-span Kennedy class IV situation. The entire technique is reversible, inexpensive, and demands less skill compared to semi-precision and precision attachments.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Indian Prosthodont Soc</journal-id>
<journal-id journal-id-type="iso-abbrev">J Indian Prosthodont Soc</journal-id>
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<article-id pub-id-type="publisher-id">JIPS-16-83</article-id>
<article-id pub-id-type="doi">10.4103/0972-4052.155045</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Rehabilitation of long-span Kennedy class IV partially edentulous patient with a custom attachment-retained prosthesis</article-title>
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<given-names>Pavithra Kumar</given-names>
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<given-names>Bharath Y</given-names>
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<aff id="aff1">Department of Prosthodontics, KLE Viswanath Katti Institute of Dental Sciences, Belgaum, Karnataka, India</aff>
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Department of Prosthodontics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Pavithra Kumar Shetty, Department of Prosthodontics, KLE Viswanath Katti Institute of Dental Sciences, Nehru Nagar, Belgaum - 590 010, Karnataka, India. E-mail: <email xlink:href="docpavithrakshetty@gmail.com">docpavithrakshetty@gmail.com</email>
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<pub-date pub-type="ppub"><season>Jan-Mar</season>
<year>2016</year>
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<volume>16</volume>
<issue>1</issue>
<fpage>83</fpage>
<lpage>86</lpage>
<history><date date-type="received"><day>16</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>18</day>
<month>2</month>
<year>2015</year>
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<permissions><copyright-statement>Copyright: © The Journal of Indian Prosthodontic Society</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.</license-p>
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<abstract><p>The rehabilitation of a patient in the Kennedy class IV situation demands biomechanical balance and aesthetic improvement. The long-span condition complicates the problem because of the unavailability of sufficient number of abutments to support the prosthesis. Conventional removable prosthesis and fixed partial denture are not advised for the same reason. This report describes a novel technique for the fabrication of a custom attachment to retain prosthesis. An acrylic resin removable partial denture (RPD) is retained by a custom attachment. The patrix part of the custom attachment is fabricated using molar bands, prefabricated circumferential clasp, and straight die pins. The matrix part of the attachment is constituted by the plastic sleeves of the straight die pins, which are embedded inside the tissue-fitting surface of the prosthesis. This article describes an inexpensive custom attachment for rehabilitating the long-span Kennedy class IV situation. The entire technique is reversible, inexpensive, and demands less skill compared to semi-precision and precision attachments.</p>
</abstract>
<kwd-group><kwd>Custom attachment</kwd>
<kwd>Kennedy class IV</kwd>
<kwd>long-span</kwd>
<kwd>rehabilitation</kwd>
</kwd-group>
</article-meta>
</front>
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<tree><country name="Inde"><noRegion><name sortKey="Shetty, Pavithra Kumar" sort="Shetty, Pavithra Kumar" uniqKey="Shetty P" first="Pavithra Kumar" last="Shetty">Pavithra Kumar Shetty</name>
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<name sortKey="Hegde, Mayur" sort="Hegde, Mayur" uniqKey="Hegde M" first="Mayur" last="Hegde">Mayur Hegde</name>
<name sortKey="Prabhu, Bharath M" sort="Prabhu, Bharath M" uniqKey="Prabhu B" first="Bharath M" last="Prabhu">Bharath M. Prabhu</name>
<name sortKey="Shetty, Bharath Y" sort="Shetty, Bharath Y" uniqKey="Shetty B" first="Bharath Y" last="Shetty">Bharath Y. Shetty</name>
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