University School of Dental Medicine of Belgrade , Belgrade , Serbia
Clinic of Dental Prosthetic , Belgrade , Serbia
The quality and number of remaining teeth, bone quality, feasibility of dental-implant treatment, condition of the supporting tissues, and patient's financial condition must be considered during planning for prosthetic rehabilitation of partially edentulous patients. Herein, we report the prosthetic rehabilitation of a 59-year-old man with a unilaterally edentulous mandible using a bar and precision attachments embedded in a cast partial denture. Metal-ceramic crowns were fabricated on the remaining teeth in the lower jaw, and the crowns on either side of the bounded saddle were connected using a bar. Additionally, two precision ball attachments were placed on the occlusal aspect of the bar. Distally, a precision ball attachment was placed towards the free saddle. Subsequently, cast partial dentures for the lower and upper jaws were fabricated. The patient was successfully rehabilitated, and orofacial functions were restored. At the follow-up examination 18 months after treatment, the patient had no complaints. The findings in this case show that rehabilitation of partially edentulous patients using cast partial dentures with increased number of retention attachments achieves satisfactory orofacial prosthetic rehabilitation without changing the existing neutro-occlusal relationship of the teeth.
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