Implant-assisted removable partial denture: An approach to switch Kennedy Class I to Kennedy Class III
Identifieur interne : 006B15 ( Ncbi/Merge ); précédent : 006B14; suivant : 006B16Implant-assisted removable partial denture: An approach to switch Kennedy Class I to Kennedy Class III
Auteurs : Arun Ramchandran [Inde] ; Kaushal Kishor Agrawal [Inde] ; Pooran Chand [Inde] ; Raghuwar Dayal Singh [Inde] ; Anusar Gupta [Inde]Source :
- The Journal of the Indian Prosthodontic Society [ 0972-4052 ] ; 2016.
Abstract
The Kennedy Class I and II distal extension situation poses a challenge to the prosthodontist as it inherently possesses a lack of stability, which may be attributed to the difference in compressibility of the mucosa and the periodontal ligament surrounding the distal-most abutment tooth. This results in a rotational tendency of the prosthesis around the line connecting its terminal abutments. Placement of osseointegrated dental implants in the posterior edentulous regions, distal to the terminal abutment provides improved vertical support to the distal extension removable partial denture, effectively converting its intraoral performance from a Kennedy Class I to a Class III situation, thereby resulting in improved stability of the prosthesis and consequently, enhanced patient satisfaction. This case report describes such an approach to the restoration of a Kennedy Class I partially edentulous situation.
Url:
DOI: 10.4103/0972-4052.179262
PubMed: 27746609
PubMed Central: 5062135
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<front><div type="abstract" xml:lang="en"><p>The Kennedy Class I and II distal extension situation poses a challenge to the prosthodontist as it inherently possesses a lack of stability, which may be attributed to the difference in compressibility of the mucosa and the periodontal ligament surrounding the distal-most abutment tooth. This results in a rotational tendency of the prosthesis around the line connecting its terminal abutments. Placement of osseointegrated dental implants in the posterior edentulous regions, distal to the terminal abutment provides improved vertical support to the distal extension removable partial denture, effectively converting its intraoral performance from a Kennedy Class I to a Class III situation, thereby resulting in improved stability of the prosthesis and consequently, enhanced patient satisfaction. This case report describes such an approach to the restoration of a Kennedy Class I partially edentulous situation.</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-16-408</article-id>
<article-id pub-id-type="doi">10.4103/0972-4052.179262</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Implant-assisted removable partial denture: An approach to switch Kennedy Class I to Kennedy Class III</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Ramchandran</surname>
<given-names>Arun</given-names>
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<contrib contrib-type="author"><name><surname>Agrawal</surname>
<given-names>Kaushal Kishor</given-names>
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<contrib contrib-type="author"><name><surname>Chand</surname>
<given-names>Pooran</given-names>
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<contrib contrib-type="author"><name><surname>Ramashanker</surname>
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<contrib contrib-type="author"><name><surname>Singh</surname>
<given-names>Raghuwar Dayal</given-names>
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<aff id="aff1">Department of Prosthodontics, King George Medical University, Lucknow, Uttar Pradesh, India</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Kaushal Kishor Agrawal, Flat No. 103, Teachers Apartment, T.G. Hostel Campus, Sitapur Road, Lucknow, Uttar Pradesh, India. E-mail: <email xlink:href="drkaushalp@yahoo.co.in">drkaushalp@yahoo.co.in</email>
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<pub-date pub-type="ppub"><season>Oct-Dec</season>
<year>2016</year>
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<volume>16</volume>
<issue>4</issue>
<fpage>408</fpage>
<lpage>411</lpage>
<history><date date-type="received"><day>02</day>
<month>10</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>29</day>
<month>2</month>
<year>2016</year>
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<permissions><copyright-statement>Copyright: © 2016 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 Kennedy Class I and II distal extension situation poses a challenge to the prosthodontist as it inherently possesses a lack of stability, which may be attributed to the difference in compressibility of the mucosa and the periodontal ligament surrounding the distal-most abutment tooth. This results in a rotational tendency of the prosthesis around the line connecting its terminal abutments. Placement of osseointegrated dental implants in the posterior edentulous regions, distal to the terminal abutment provides improved vertical support to the distal extension removable partial denture, effectively converting its intraoral performance from a Kennedy Class I to a Class III situation, thereby resulting in improved stability of the prosthesis and consequently, enhanced patient satisfaction. This case report describes such an approach to the restoration of a Kennedy Class I partially edentulous situation.</p>
</abstract>
<kwd-group><kwd>Dental implant</kwd>
<kwd>distal extension removable partial denture</kwd>
<kwd>osseointegration</kwd>
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