Use of the rotational path removable partial denture concept in a Kennedy Class II patient: a case report

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.