A Viable Treatment Alternative in Distal Extension Cases: A Case Report

Dentures requiring support from teeth, the mucosa and the underlying alveolar ridges are subjected to many forces that adversely effect the abutment teeth and the residual ridges during functional and parafunctional activity. A number of designs of the framework and the direct retainers were used to improve the comfort and acceptance of the patient wearing a removable partial denture. Attachment retained removable partial denture is one of the viable treatment alternative through which significant number of patients could be benefited. In this particular case of distal extension, attachment retained removable partial denture was chosen as a treatment modality. This article provides an overview and a simplified approach to this treatment through a case report and the criteria followed for selection of the particular attachments for treating the patient.

All in one: a case report

To plan and execute the rehabilitation of a decimated occlusion is probably one of the most intellectually and technically demanding tasks faced by any restorative dentist. This clinical report describes a multidisciplinary approach for complete oral rehabilitation of a patient with few remaining natural teeth. The treatment included the use of a complete denture, removable partial denture, fixed partial denture and implants for restoring the patient's esthetics and function.

A simplified chair-side technique with pre-fabricated directional rings in a case of divergent root retained overdenture

Precision attachments have been largely ignored by most dental professionals for trivial reasons such as cost and reluctance of a practitioner to grasp the intricacies of its indications and applications. Precision attachments offer considerable advantages such as increased retention of a denture, preservation of teeth which are otherwise indicated for extraction, as a viable alternative to implant retained overdenture and the ability to obtain parallelism in divergent abutments. A prosthodontist who familiarizes himself with precision attachments will be in a position to suggest a better treatment options in retaining teeth which might otherwise be considered for extraction or immediate implant placement. In this clinical report, we have described an overdenture placed on a previously unfavourable abutment made favourable by placing directional rings to maintain parallelism thus facilitating easy insertion and removal of the prosthesis.