Simultaneous repair and rebase of a removable partial denture

Area of Science:

• Dental Prosthodontics
• Periodontal Disease Management
• Implant-Supported Prostheses

Background:

• A long-term patient presented with complications from a mandibular removable partial denture.
• Issues included evulsed mandibular canines and periodontal disease affecting alveolar bone.
• Denture-related problems included irritating open clasps and food retention under the anterior saddle.

Purpose of the Study:

• To address and repair a failing mandibular removable partial denture.
• To restore lost canine teeth and resolve denture-related oral tissue irritation.
• To improve hygiene by eliminating food trapping under the denture saddle.

Main Methods:

• Replicated evulsed mandibular canines using autocured acrylic.
• Secured the replicated canines into the existing denture clasps.
• Rebased the anterior saddle area with autocured acrylic to eliminate food retention.
• Simultaneously splinted the repaired canine areas and saddle due to their adjacency.

Main Results:

• Successfully repaired the patient's existing mandibular removable partial denture.
• Eliminated oral tissue irritation caused by open clasps.
• Resolved food retention issues under the anterior saddle.
• The patient retained their prosthesis throughout the repair process.

Conclusions:

• A cost-effective and timely repair of a removable partial denture is feasible.
• Addressing denture deficiencies can significantly improve patient comfort and oral hygiene.
• Simultaneous repair of adjacent denture components is an efficient treatment approach.