A technique for the replacement of multiple missing anterior teeth in the presence of a mutilated alveolar ridge

The intent of this paper is to demonstrate a clinical technique for the replacement of multiple missing anterior teeth in the presence of a mutilated ridge. It also reviews basic rules governing the replacement of multiple adjacent missing teeth. The two cases presented clearly demonstrate that multiple adjacent missing teeth can be esthetically restored and still preserve that which remains; teeth, periodontium and soft tissues. The long-term success or failure of prosthodontic restorations relies heavily upon careful consideration of esthetic and foundational requirements. A technique has been described which incorporates the benefits of both fixed and removable dentures to restore multiple missing teeth in the presence of a mutilated alveolar ridge. The first patient was treated approximately twenty years ago. The anterior teeth and alveolar ridge were lost due to an automobile accident. The entire labial alveolar ridge was lost to the base of the nasal spine, thereby making a simple six-unit anterior fixed partial denture a complex and difficult problem. The second patient was recently treated. This patient's alveolar ridge and buccal plate were destroyed by a horse's hoof, again making a restoration procedure a difficult one.