Optimizing Function and Aesthetics in Kennedy Class 1 Prosthetic Rehabilitation: A Case Report

TL;DR

This case report presents a non-surgical solution for a patient needing dental restoration without implants or removable dentures.

Contribution

The paper introduces a combined prosthesis using an extra coronal precision attachment system for distal extension cases.

Findings

A combined prosthesis provided stability and retention without surgery.

The extra coronal precision attachment system effectively managed unilateral distal extension.

The solution preserved remaining natural teeth and bone structure.

Abstract

When dealing with a partially edentulous patient requiring rehabilitation for a distal extension, the situation becomes challenging if the patient is unwilling to consider placing implants or using a removable prosthesis. A patient with partial tooth loss may find it difficult to receive a satisfactory repair, especially if the missing teeth are at the back. The surrounding gum tissue and the underlying bone ridges provide support for dentures that encase natural teeth. During functional activities, these components are frequently exposed to different stresses, which can substantially affect the remaining natural teeth and bone structure. Precision attachments are complex devices made up of two parts: one incorporated into a detachable dental prosthesis and the other fastened to the natural teeth. Their function is to give the prosthetic stability and retention. A fixed partial denture is impractical when there is no distal abutment. However, by offering a combination prosthesis, this difficulty can be solved. Without requiring surgery, this method provides the benefit of a fixed prosthesis. We are presenting a case of management for a 56-year-old patient with unilateral distal extension with a combined prosthesis of acrylic retained by an extra coronal precision attachment system.

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