Implant-Supported Removable Partial Denture: An Approach to Rehabilitate Maxillary Kennedy Class I

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Authors

  • Imed Ouni Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia
  • Sinda Ammar Prosthetic Department, Hospital Mohamed Tlatli, Nabeul,Tunisia
  • Hiba Triki Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia
  • Imen B. Afia Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia
  • Lamia Mansour Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia

DOI:

https://doi.org/10.17140/DOJ-7-142

Keywords:

Dental implant, Distal extension removable partial denture, Kennedy Class I, Attachment denture

Abstract

Patients with maxillary Kennedy Class I are frequent visitors to the dental office, the missing of posterior teeth makes the control
of the movement of removable partial dentures difficult due to the axis of rotation and the different resiliencies between the
supporting structures. The use of implants in association to the conventional metal frame denture provides favorable long-term
stability and retention, good clinical outcomes in terms of occurrence of complications and maintenance. In this clinical case,
a patient with a maxillary Kennedy Class I was rehabilitated using a 3 implants to support metallic removable partial denture. A
three dimensional (3D) surgical guide was used for the well-placement of the strategic implants and ball attachments were tightened
as connectors between implant and denture. The patient was satisfied after 4-years of follow-up and reported good occlusal
stability, esthetic and functional satisfaction.

References

Ben-Ur Z, Aviv I, Maharshak B. Factors affecting displacement of free-end saddle removable partial dentures. Quintessence Int. 1991; 22: 23-27.

Igarashi Y, Ogata A, Kuroiwa A. Stress distribution and abut-ment tooth mobility of distal-extension removable partial dentures with different retainers: An in vivo study. J Oral Rehabil. 1999; 26: 111-116. doi: 10.1046/j.1365-2842.1999.00345.x

Ohkubo C, Kobayashi M, Suzuki Y. Effect of implant support on distal-extension removable partial dentures: in vivo assessment. Int J Oral Maxillofac Implants. 2008; 23: 1095-1101.

Kaufmann R, Friedli M, Hug S. Removable dentures with im-plant support in strategic positions followed for up to 8 years. Int J Prosthodont. 2009; 22: 233-241.

Kuboki T, Okamoto S, Suzuki H, Kanyama M, Arakawa H, Sonoyama W. Quality of life assessment of bone-anchored fi-xed partial denture patients unilateral mandibular distal-extension edentulism. J Prosthet Dent. 1999; 82(2): 182-187. doi: 10.1016/ s0022-3913(99)70154-x

Mijiritsky E, Ormianer Z, Klinger A, Mardinger O. Use of dental implants to improve unfavorable removable partial denture design. Compend Contin Educ Dent. 2005; 26(10): 744-6, 748, 750 passim.

Ramchandran A, Agrawal KK, Chand P, Ramashanker, Singh RD, Gupta A. Implant-assisted removable partial denture: An approach to switch Kennedy Class I to Kennedy Class III. J Indian Prosthodont Soc. 2016; 16(4): 408-411. doi: 10.4103/0972-4052.179262

De Carvalho WR, Barboza EP, Caúla AL. Implant retained re-movable prosthesis with ball attachments in partially edentulous maxilla. Implant Dent. 2001; 10: 280-284. doi: 10.1097/00008505- 200110000-00012

Ohkubo C, Kurihara D, Shimpo H, Suzuki Y, Kokubo Y, Hosoi T. Effect of implant support on distal extension removable partial dentures: In vitro assessment. J Oral Rehabil. 2007; 34: 52-56. doi:

1111/j.1365-2842.2006.01641.x 10. Maeda Y, Sogo M, Tsutsumi S. Efficacy of a posterior im-plant support for extra shortened dental arches: A biomechanical model analysis. J Oral Rehabil. 2005; 32: 656-660. doi: 10.1111/j. 1365-2842.2005.01478.x

Cunha LD, Pellizzer EP, Verri FR, Pereira JA. Evaluation of the influence of location of osseointegrated implants associated with mandibular removable partial dentures. Implant Dent. 2008; 17: 278- 287. doi: 10.1097/ID.0b013e31818363b2

Grossmann Y, Levin L, Sadan A. A retrospective case series of implants used to restore partially edentulous patients with implant-supported removable partial dentures: 31-month mean follow-up results. Quintessence Int. 2008; 39: 665-671.

Verri FR, Pellizzer EP, Rocha EP, Pereira JA. Influence of len-gth and diameter of implants associated with distal extension re-movable partial dentures. Implant Dent. 2007; 16(3): 270-279. doi: 10.1097/ID.0b013e31805007aa

Chikunov I, Doan P, Vahidi F. Implant-retained partial over-denture with resilient attachments. J Prosthodont. 2008; 17: 141-148. doi: 10.1111/j.1532-849X.2007.00261.x Submit your article to this journal | https://openventio.org/submit-manuscript/

Mensor MC. The rationale of resilient hinge-action stress-breakers. J Prosthet Dent. 1968; 20(3): 204-215. doi: 10.1016/0022- 3913(68)90116-9

Mitrani R, Brudvik JS, Phillips KM. Posterior implants for dis-tal extension removable prostheses: A retrospective study. Int J Pe-riodontics Restorative Dent. 2003; 23: 353-359.

Mijiritsky E. Implants in conjunction with removable partial dentures: A literature review. Implant Dent. 2007; 16(2): 146-154. doi: 10.1097/ID.0b013e3180500b2c

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Published

2020-10-17

How to Cite

Imed Ouni, Sinda Ammar, Hiba Triki, Imen B. Afia, & Lamia Mansour. (2020). Implant-Supported Removable Partial Denture: An Approach to Rehabilitate Maxillary Kennedy Class I. Dentistry, 7(1), 1–6. https://doi.org/10.17140/DOJ-7-142