Fabrication of Distal Extension Removable Partial Denture with Surveyed Crown and Altered Cast Technique: A Case Report
Correspondence Address :
Dr. Azirrawani Ariffin,
Prosthodontic Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia.
E-mail: wani@usm.my
Support and stability for a Removable Partial Denture (RPD) are difficult to achieve in a distal extension edentulous ridge and are even more compromised in reduced dentition. The combination of the altered cast technique and milled crown in removable partial denture fabrication would greatly enhance support by redistributing the load more effectively. However, it is not routinely practiced due to the complexity of the treatment and the lack of emphasis in dental curriculum. In the present case of a 54-year-old male, despite several attempts at wearing the denture, the patient was unable to tolerate it. The atrophic mandibular ridge and poor inclination of the abutment tooth seemed to be complicating factors. Therefore, the prosthesis required some modifications. The present case report highlights the Applegate altered cast technique, which can be deployed with a milled crown, including the clinical and laboratory stages involved. This might help to overcome the problems encountered with distal end saddle dentures, making them more tolerable to patients.
Abutment, Alveolar ridge, Casting, Dental crown, Dental prosthesis, Denture stability, Surveyor
DOI: 10.7860/JCDR/2024/51108.19216
Date of Submission: Jun 30, 2021
Date of Peer Review: Jul 24, 2021
Date of Acceptance: Sep 06, 2023
Date of Publishing: Mar 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jul 12, 2021
• Manual Googling: Jul 30, 2021
• iThenticate Software: Sep 04, 2023 (12%)
ETYMOLOGY: Author Origin
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