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http://dx.doi.org/10.4047/jkap.2022.60.4.347

Flexible IARPD considering the prevention of combination syndrome: a case report  

Kim, So-yeun (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
Publication Information
The Journal of Korean Academy of Prosthodontics / v.60, no.4, 2022 , pp. 347-353 More about this Journal
Abstract
Traditional denture treatment is often performed in patients with the completely edentulous maxilla and the bilateral edentulous posterior mandible. However, with a long-term prognosis, a complication called 'combination syndrome' may occur in this oral environment. In this case, by applying an implant-assisted removable partial denture (IARPD), it is possible to preserve the alveolar bone and prevent combination syndrome. In this case, when additional implants are placed in the edentulous area, the stress applied to the abutment due to the movement of the removable denture can be reduced, so it is possible to design an esthetic clasp using resin rather than metal, and flexible denture base resin is used. As a treatment for maxillary complete denture and mandibular flexible IARPD, it showed an esthetic and functional long-term prognosis with minimal cost and surgery.
Keywords
Combination syndrome; Flexible denture; IARPD; Removable partial denture;
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1 Reich KM, Huber CD, Lippnig WR, Ulm C, Watzek G, Tangl S. Atrophy of the residual alveolar ridge following tooth loss in an historical population. Oral Dis 2011;17:33-44.   DOI
2 Kelly E. Changes caused by a mandibular removable partial denture opposing a maxillary complete denture. 1972. J Prosthet Dent 2003;90:213-9.   DOI
3 Keltjens HM, Kayser AF, Hertel R, Battistuzzi PG. Distal extension removable partial dentures supported by implants and residual teeth: considerations and case reports. Int J Oral Maxillofac Implants 1993;8:208-13.
4 Zancope K, Abrao GM, Karam FK, Neves FD. Placement of a distal implant to convert a mandibular removable Kennedy class I to an implant-supported partial removable Class III dental prosthesis: A systematic review. J Prosthet Dent 2015;113:528-33.   DOI
5 Bassetti RG, Bassetti MA, Kuttenberger J. Implant-assisted removable partial denture prostheses: A critical review of selected literature. Int J Prosthodont 2018;31:287-302.   DOI
6 Ohyama T, Nakabayashi S, Yasuda H, Kase T, Namaki S. Mechanical analysis of the effects of implant position and abutment height on implant-assisted removable partial dentures. J Prosthodont Res 2020;64:340-5.   DOI
7 Nogawa T, Saito M, Murashima N, Takayama Y, Yokoyama A. Influence of rigidity of retainers on dynamic behavior of implant-supported removable partial dentures. Int J Implant Dent 2020;6:1-9.   DOI
8 Singh JP, Dhiman RK, Bedi RP, Girish SH. Flexible denture base material: A viable alternative to conventional acrylic denture base material. Contemp Clin Dent 2011;2:313-7.   DOI
9 Bogucki ZA, Kownacka M. Elastic dental prostheses - alternative solutions for patients using acrylic prostheses: Literature review. Adv Clin Exp Med 2018;27:1441-5.   DOI
10 Pjetursson BE, Lang NP. Prosthetic treatment planning on the basis of scientific evidence. J Oral Rehabil 2008;35:72-9.   DOI
11 Friel T, Waia S. Removable partial dentures for older adults. Prim Dent J 2020;9:34-9.   DOI
12 Saunders TR, Gillis RE Jr, Desjardins RP. The maxillary complete denture opposing the mandibular bilateral distal-extension partial denture: treatment considerations. J Prosthet Dent 1979;41:124-8.   DOI
13 von Wowern N, Gotfredsen K. Implant-supported overdentures, a prevention of bone loss in edentulous mandibles? A 5-year follow-up study. Clin Oral Implants Res 2001;12:19-25.   DOI
14 ELsyad MA, Errabti HM, Mustafa AZ. Mandibular denture base deformation with locator and ball attachments of implant-retained overdentures. J Prosthodont 2016;25:656-64.   DOI
15 Akinyamoju CA, Dosumu OO, Taiwo JO, Ogunrinde TJ, Akinyamoju AO. Oral health-related quality of life: acrylic versus flexible partial dentures. Ghana Med J 2019;53:163-9.   DOI
16 Yunus N, Rashid AA, Azmi LL, Abu-Hassan MI. Some flexural properties of a nylon denture base polymer. J Oral Rehabil 2005;32:65-71.   DOI
17 Al-Dharrab A, Shinawi L. Thermogravimetric Characterization of the microstructui composition of polyamide injection molded denture base material vs conventional compression molded heat-cured denture base material. J Contemp Dent Pract 2016;17:99-104.   DOI
18 Saeed F, Muhammad N, Khan AS, Sharif F, Rahim A, Ahmad P, Irfan M. Prosthodontics dental materials: From conventional to unconventional. Mater Sci Eng C Mater Biol Appl 2020;106:110167.   DOI