Kim Hyeongil, Buhite Robert J, Monaco Edward A
N Y State Dent J. 2015 Mar;81(2):34-7.
This article describes a technique for maintaining a maxillary Kennedy III partial removable dental prosthesis design in a patient who had non-restorable failing abutments by replacing the abutments with dental implants. Two implants were placed immediately after extraction of the abutment teeth in the anterior maxilla. After the implants were fully integrated, a Dolder bar attachment was fitted onto the implants. A new maxillary partial removable dental prosthesis was fabricated using the implants and the remaining natural teeth as abutments to restore function and esthetics. With the aid of dental implants, this Kennedy III maxillary removable dental prosthesis design could provide additional retention and support by promoting cross-arch stability and tissue, implant and tooth support. The patient's satisfaction was significantly increased.
本文描述了一种在患者基牙无法修复且功能衰退的情况下，通过用牙种植体替换基牙来维持上颌肯尼迪Ⅲ类部分可摘义齿设计的技术。在上颌前部基牙拔除后立即植入两颗种植体。种植体完全整合后，在种植体上安装一个多尔德尔杆附着体。使用种植体和剩余天然牙作为基牙制作了一副新的上颌部分可摘义齿，以恢复功能和美观。借助牙种植体，这种肯尼迪Ⅲ类上颌可摘义齿设计可通过促进跨牙弓稳定性以及组织、种植体和牙齿的支持来提供额外的固位和支持。患者的满意度显著提高。
