Donovan Terry
Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC 27599-7450, USA.
J Esthet Restor Dent. 2008;20(5):294-8; discussion 299. doi: 10.1111/j.1708-8240.2008.00196.x.
This case report describes the treatment of a patient with Sjogren's syndrome who was missing all of the posterior teeth in the maxillary left arch. Implants were contraindicated for this patient because of a chronic sinus infection. Various removable prosthodontic options were considered, and the patient was ultimately treated very conservatively with a rotational path removable partial denture (RPD). This approach required no tooth preparation other than bonding a resin composite cingulum rest on the maxillary left canine. The use of the rotational path RPD eliminated any unsightly clasp assembly display and provided a satisfactory esthetic result.
The rotational path removable partial denture is an underutilized option for the esthetic replacement of missing teeth. It should be considered as an option in both tooth-borne and Kennedy Class II situations.
本病例报告描述了一名患有干燥综合征的患者的治疗情况,该患者上颌左牙弓所有后牙均缺失。由于慢性鼻窦感染,该患者禁忌植入种植体。考虑了各种可摘局部义齿修复方案,最终对该患者采用了旋转就位道可摘局部义齿(RPD)进行非常保守的治疗。这种方法除了在上颌左尖牙上粘结树脂复合舌隆突支托外,无需进行牙体预备。旋转就位道RPD的使用消除了任何难看的卡环组件显露,并提供了令人满意的美学效果。
旋转就位道可摘局部义齿是一种未得到充分利用的美学修复缺失牙的选择。在牙支持式和肯氏II类情况下均应将其视为一种选择。