A case rehabilitated with fixed bridge and clasp-retained removable partial dentures for a partially edentulous patient with cosmetic disturbance and severe periodontal disease

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  • Wada Junichiro
    Removable Partial Prosthodontics, Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University

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  • 審美的要求を有する重度歯周病患者にブリッジとクラスプ義歯で補綴を行った症例
  • 専門医症例報告 審美的要求を有する重度歯周病患者にブリッジとクラスプ義歯で補綴を行った症例
  • センモンイ ショウレイ ホウコク シンビテキ ヨウキュウ オ ユウスル ジュウドシシュウビョウ カンジャ ニ ブリッジ ト クラスプ ギシ デ ホテツ オ オコナッタ ショウレイ

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Abstract

Patient: A 62-year-old female patient presented with chewing difficulty and a request for good esthetics. The occlusal function was severely compromised because of increased mobility of the posterior dentition. Following the extraction of hopeless teeth, partially edentulous arches were restored with a maxillary nine-unit fixed restoration and maxillary and mandibular bilateral free-end saddle dentures.<br>Discussion: The oral health-related quality of life and subjective chewing ability were improved and high patient satisfaction was reported after the definitive prosthodontic replacements. The results were partly due to the effects of reconstructed occlusion by the fixed splinting and removable partial dentures that were rigidly retained in the maxillary and mandibular arches by the Co-Cr precision frameworks. The periodontal tissues and restorations have been maintained for more than 3 years.<br>Conclusion: Periodic post-operative recalls suggest that a combination of a long-span fixed bridge and removable partial dentures functions well for the partially edentulous patient with advanced periodontitis.

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