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Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

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Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

Auteurs : Moon-Hyoung Kim [Corée du Sud] ; Seong-Joo Heo [Corée du Sud] ; Seong-Kyun Kim [Corée du Sud] ; Jai-Young Koak [Corée du Sud]

Source :

RBID : PMC:2984521

Abstract

BACKGROUND

Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered.

CASE DESCRIPTION

A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period.

CLINICAL IMPLICATION

The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.


Url:
DOI: 10.4047/jap.2010.2.2.46
PubMed: 21165187
PubMed Central: 2984521

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PMC:2984521

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<p>Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered.</p>
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<sec>
<title>CASE DESCRIPTION</title>
<p>A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period.</p>
</sec>
<sec>
<title>CLINICAL IMPLICATION</title>
<p>The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.</p>
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<journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
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<surname>Kim</surname>
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<surname>Koak</surname>
<given-names>Jai-Young</given-names>
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<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
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<aff id="A1">Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Jai-Young Koak. Department of Prosthodontics and Dental Research Institute, School of Dentistry, 275-1, Yeongeon-Dong, Jongno-Gu, Seoul, 110-768, Republic of Korea. Tel, +82 2 2072 3860:
<email>young21c@snu.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>6</month>
<year>2010</year>
</pub-date>
<volume>2</volume>
<issue>2</issue>
<fpage>46</fpage>
<lpage>49</lpage>
<history>
<date date-type="received">
<day>30</day>
<month>4</month>
<year>2010</year>
</date>
<date date-type="rev-recd">
<day>20</day>
<month>5</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>5</month>
<year>2010</year>
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<permissions>
<copyright-statement>Copyright © 2010 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>BACKGROUND</title>
<p>Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered.</p>
</sec>
<sec>
<title>CASE DESCRIPTION</title>
<p>A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period.</p>
</sec>
<sec>
<title>CLINICAL IMPLICATION</title>
<p>The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Esthetic restoration</kwd>
<kwd>Occlusal wear</kwd>
<kwd>Rotational path RPD</kwd>
<kwd>Vertical dimension</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Fig. 1</label>
<caption>
<p>Initial intraoral status.</p>
</caption>
<graphic xlink:href="jap-2-46-g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Fig. 2</label>
<caption>
<p>Provisional restoration.</p>
</caption>
<graphic xlink:href="jap-2-46-g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Fig. 3</label>
<caption>
<p>Transfer procedure of provisional vertical dimension to final restoration. A: Stable bite registration with resin coping crowns, B: Lower recording base and wax rim were used for posterior bite registration, C: Upper anterior recording base and wax rim were used for anterior bite registration.</p>
</caption>
<graphic xlink:href="jap-2-46-g003"></graphic>
</fig>
<fig id="F4" position="float">
<label>Fig. 4</label>
<caption>
<p>The surveying procedure for lateral rotational path RPD; following the first surveying procedure at a zero-degree tilt, the diagnostic cast was tilled upward until the mesial undercuts on the anterior abutments were eliminated for the second surveying.</p>
</caption>
<graphic xlink:href="jap-2-46-g004"></graphic>
</fig>
<fig id="F5" position="float">
<label>Fig. 5</label>
<caption>
<p>A: Upper rotational path RPD, B: Lower conventional RPD.</p>
</caption>
<graphic xlink:href="jap-2-46-g005"></graphic>
</fig>
<fig id="F6" position="float">
<label>Fig. 6</label>
<caption>
<p>Final prostheses; the stable occlusion was established.</p>
</caption>
<graphic xlink:href="jap-2-46-g006"></graphic>
</fig>
</floats-group>
</pmc>
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