Maxillary and mandibular distal extension rehabilitation: combination of cast partial denture with RPI system and flexible partial denture: a case report

Abstract

Introduction

The aim of this paper is to present a case of partial edentulous in maxillary and mandibular arch. Removable partial denture (RPD) is one of the various treatment options available for the replacement of teeth for partially edentulism patients.

Case presentation

A 56-year-old female reported to the Department of Prosthodontics with a chief complaint of missing teeth and inability to masticate. Shows Kennedy’s Class 1 in maxillary arch and Kennedy’s Class 1 Mod.1in mandibular arch. After complete examination cast partial denture with respect to maxillary arch and flexi denture with respect to mandibular arch have been considered as a feasible management option to solve functional problem.

Conclusion

Distal extension cases require much skill to accomplish a proper design of partial denture. This is due to the difference in tooth and soft tissue which eventually results in non-axial loading. Forces must be controlled through optimal tissue health, maximum coverage of soft tissue, proper use of direct retainers and placement of all components in their most advantageous positions, and flexible dentures as an alternative in cases where cast partial denture is ineffective. The purpose of this article is to provide an overview approach to this treatment modality by way of a case report.