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VOLUME 12 , ISSUE 2 ( July-December, 2021 ) > List of Articles

CASE REPORT

Restoring Partially Edentulous Mandibular Arch Using Prefabricated Metal Posts, Extracoronal Precision Attachment and Computer-aided Design/Computer-aided Manufacturing Prostheses: A Case Report

Anubhav Roy, Poonam Khinnavar, DB Nandeeshawar

Keywords : Cast partial denture, Partial edentulism, Precision attachment, Prefabricated metal post, Retention, Self-threaded post

Citation Information : Roy A, Khinnavar P, Nandeeshawar D. Restoring Partially Edentulous Mandibular Arch Using Prefabricated Metal Posts, Extracoronal Precision Attachment and Computer-aided Design/Computer-aided Manufacturing Prostheses: A Case Report. J Health Sci Res 2021; 12 (2):44-47.

DOI: 10.5005/jp-journals-10042-1105

License: CC BY-NC 4.0

Published Online: 25-03-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aims and objectives: This article describes rehabilitation of mandibular partially edentulous arch in a patient who was dissatisfied with her previous partial denture. This case report discusses prosthetic rehabilitation after post and core of three mandibular teeth with minimal coronal structure and then using computer-aided design/computer-aided manufacturing (CAD/CAD) for the fabrication of the porcelain fused to metal (PFM) crowns and the cast partial denture framework. Background: In recent generation, the demand and awareness for quality treatment has been rapidly increasing. While treating a patient who is partially edentulous, principal attention is aesthetics, function and retention of the prostheses. Although attachments have a long history, many of the dental clinicians are hesitant to use these attachments in their day to day practice. The advantage of using these attachment-retained cast partial dentures is it improves aesthetics, provides comfort and function of the denture and at the same time fulfils patient's expectations. Case description: This case report describes 56-year-old female with the complaint of difficulty in mastication due to multiple missing teeth in the lower arch. It describes the clinical and the laboratory steps for prosthetic rehabilitation of a patient with mandibular partially edentulism using prefabricated metal posts, core build up, and cast partial denture with Preci-Vertix attachments. Clinical significance: This case report discusses a rehabilitation option for a patient who was unhappy with her previous prosthesis. The treatment planned here focuses on preserving the tooth present using post and core followed by fabrication of Preci-Vertix attachment prosthesis using CAD/CAM. Moreover, this resulted in prosthesis that was more precise with better retention and patient satisfaction.


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  1. Bakersandr JLJ, Goodkind RJ. Precision attachment removable partial dentures. CA, USA: Mosby, San Mateo; 1981.
  2. Glossary of prosthodontic terms: 9th edition. J Prosthet Dent 2017;117(5S):e1–e105. DOI: 10.1016/j.prosdent.2016.12.001.
  3. Burns DR, Ward JE. Review of attachments for removable partial denture design: 1. Classification and selection. Int J Prosthodont 1990;3(1):98–102. PMID: 2196898.
  4. Burns DR, Ward JE. A review of attachments for removable partial denture design: part 2. Treatment planning and attachment selection. Int J Prosthodont 1990;3(2):169–174. PMID: 2133384.
  5. Karr AB, Brown DT. McCraken's Removable partial denture prosthodontics. 13th ed. Mosby Elsevier. 2016.
  6. Preiskel HW. Precision attachment in prosthodontics. vol. 1–2. London, UK: Quintessence Publishing; 1995.
  7. Williams RJ, Bibb R, Eggbeer D, et al. Use of CAD/CAM technology to fabricate a removable partial denture framework. J Prosthetic Dent 2006;96(2):96–99. DOI: 10.1016/j.prosdent.2006.05.029.
  8. Holst S, Blatz MB, Eitner S, et al. In vitro wear of different material combinations of intracoronal precision attachments. Int J Prosthodont 2006;19(4):330–332. PMID: 16900814.
  9. Patel H, Patel K, Thummer S, et al. Use of precision attachment and cast partial denture for long-span partially edentulous mouth–a case report. Int J Appl Dent Sci 2014;1(1):22–25. Corpus ID: 19049968.
  10. Berman L, Hargreaves K, Rotstein I, et al. Cohen's pathway of the pulp. 11th ed. St. Louis: Elsevier; 2016.
  11. Helvatjoglu-Antoniades M, Karantakis P, Papadogiannis Y, et al. Fluoride release from restorative materials and a luting cement. J Prosthet Dent 2001;86(2):156–164. DOI: 10.1067/mpr.2001. 116778.
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