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 Table of Contents  
CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 33-35

An implant-supported removable partial denture: A viable option to rehabilitate partially edentulous geriatric patients


CMDC, Wanowrie, Pune, Maharashtra, India

Date of Submission18-Dec-2019
Date of Acceptance27-Dec-2019
Date of Web Publication31-Jan-2020

Correspondence Address:
Mahesh Eraiah Gowda
CMDC, Wanowrie, Pune - 411 040, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JODD.JODD_7_19

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  Abstract 


Esthetics, phonetics mastication, and preservation of remaining alveolar bone are the goals of a prosthodontist while rehabilitating a patient with removable partial dentures (RPDs). Dental implants provide better retention, stability, and esthetics for partial dentures when compared to conventional tooth and tissue-supported partial dentures. They are predictable, meet the patient's expectations, and improve quality of life. Over the decades, there have been tremendous advancements in implant dentistry. This clinical report presents a case where the patient was rehabilitated with implant-supported RPDs in both maxillary and mandibular arches.

Keywords: Dental esthetics, dental implants, removable partial denture


How to cite this article:
Gowda ME, Shashidhar M P. An implant-supported removable partial denture: A viable option to rehabilitate partially edentulous geriatric patients. J Dent Def Sect. 2020;14:33-5

How to cite this URL:
Gowda ME, Shashidhar M P. An implant-supported removable partial denture: A viable option to rehabilitate partially edentulous geriatric patients. J Dent Def Sect. [serial online] 2020 [cited 2020 Jul 2];14:33-5. Available from: http://www.journaldds.org/text.asp?2020/14/1/33/276410




  Introduction Top


The incidence of partial edentulism is increasing for many years because of increased life expectancy and better access to oral healthcare.[1] Rehabilitation of these patients is becoming difficult because of increased expectations in terms of esthetics, function, and comfort. Conventional removable partial dentures (RPDs) sometimes may not meet such expectations of the patient and fixed prosthetic rehabilitation may not be feasible in all cases.[2] Implant-supported prosthesis is found to be an effective alternative to conventional partial dentures as they preserve alveolar bone enhances retention, stability, and comfort.[3]

A partially edentulous geriatric patient rehabilitated with implant-supported RPD is presented in this report.


  Case Report Top


A 72-year-old male patient reported to our department with multiple missing teeth in maxilla and mandible, leading to poor masticatory function and esthetics. He had undergone multiple extractions and did not have any prosthesis. He did not have any significant comorbidities affecting our treatment plan and prognosis. On clinical examination, tooth numbers 17 and 27 were present in the maxillary arch restored with complete coverage metal crowns, and remaining teeth were absent. In the mandibular arch, tooth numbers 44, 45, and 46 were present restored with porcelain-fused-to-metal crowns and remaining teeth were absent. Routine blood investigations and cone-beam computed tomography were advised to rule out the systemic diseases and to ascertain the available bone for implant restoration. The treatment plan was formulated to rehabilitate with implant-supported partial removable overdentures in both maxillary and mandibular arches.

After obtaining written consent, as the first step, maxillary and mandibular hear polymerizing acrylic partial dentures were fabricated and inserted in the patients mouth. After 6 weeks, once the patient was comfortable with the partial dentures, three one-piece ball attachment overdenture implants were placed in the region of the maxillary right first premolar, maxillary right canine, and maxillary left canine. In the mandibular arch, three implants in the region of right canine, right lateral incisors, and left canine were planned [Figure 1]. After the surgical placement of the implant, holes were made in the existing denture to accommodate the ball attachment of the implants. The patient was using existing removable partial denture for 4 months without any attachments on implants. After successful osseointegration, metal housing with O-Ring was picked up with the existing denture using autopolymerizing acrylic resin [Figure 2]. Finishing and polishing of the prosthesis carried out. Post rehabilitation instructions were given to the patient. The patient was advised to review regularly for post treatment follow-up [Figure 3].
Figure 1: Implants in position with radiographic investigations

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Figure 2 : Metal housings picked up in the denture

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Figure 3 : Post treatment views

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  Discussion Top


Studies have shown that due to an increase in life expectancy, the percentage of partial edentulism in the general population is increasing in all age groups.[4] This finding indicates that more people will retain a number of teeth even in advanced age, which resulted in increased demand for the treatment of partially edentulous patients. Partially edentulous patients can be treated by different modalities such as conventional RPDs, tooth-supported fixed partial dentures, implant-supported fixed partial dentures, and implant-supported RPDs. Tooth-supported fixed partial dentures cannot be planned in all cases due to unfavorable abutments and economic constraints. The use of conventional RPDs has been associated with poor retention and stability, increased rotation of the prosthesis during function, thereby enhancing bone resorption, poor esthetics because of the visibility of the clasp arms.[5] These disadvantages can be overcome by placing less number of dental implants in strategic positions of the arches in conjunction with RPDs. The aim of combining dental implants with RPD is to optimize the benefit of implants and cost-effectiveness of RPD.

In our case, tooth-supported fixed partial denture could not be planned because of the inadequate number of abutments. Implant-supported fixed partial denture was not planned because of the cost constraints. The minimum number of implants with RPDs resulted in a successful and satisfactory outcome.


  Conclusion Top


Rehabilitation of partially edentulous geriatric patients presents a challenge to treating prosthodontist in terms of achieving optimum esthetics, function, and comfort. Implant-supported partial dentures seem to provide viable alternative to conventional RPDs in successful rehabilitation and meeting expectations of geriatric patients.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Centers for Disease Control and Prevention. National Center for Health Statistics. Trends in Oral Health Status: United States, 1988-1994 and 1999-2004. Available from: http://www.cdc.gov/nchs/data/series/sr_11/sr11_248.pdf. [Last accessed on 2015 Jan 07].  Back to cited text no. 1
    
2.
Armellini DB, Heydecke G, Witter DJ, Creugers NH. Effect of removable partial dentures on oral health-related quality of life in subjects with shortened dental arches: A 2-center cross-sectional study. Int J Prosthodont 2008;21:524-30.  Back to cited text no. 2
    
3.
Ganz SD. Combination natural tooth and implant-borne removable partial denture: A clinical report. J Prosthet Dent 1991;66:1-5.  Back to cited text no. 3
    
4.
Douglass CW, Watson AJ. Future needs for fixed and removable partial dentures in the United States. J Prosthet Dent 2002;87:9-14.  Back to cited text no. 4
    
5.
Mitrani R, Brudvik JS, Phillips KM. Posterior implants for distal extension removable prostheses: A retrospective study. Int J Periodontics Restorative Dent 2003;23:353-9.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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