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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Treatment Using Functionally Fixed Prosthesis: A Case Report.

Sumi Chandra1, Ajay Singh1, Himanshu Gupta1

  • 1Department of Prosthodontics, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh India.

Journal of Indian Prosthodontic Society
|July 23, 2015
PubMed
Summary
This summary is machine-generated.

Fixed removable prostheses offer a viable alternative to traditional options for patients with complex dental needs, addressing limitations of both fixed and removable solutions. This innovative approach provides enhanced comfort and function for challenging cases, including severe alveolar bone loss.

Keywords:
Andrew’s bridgeHigh smile lineRemovable pontic assemblySevere loss of alveolar support

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Area of Science:

  • Restorative Dentistry
  • Prosthodontics
  • Dental Materials

Background:

  • Traditional fixed and removable prostheses have limitations in complex clinical scenarios.
  • Patient and practitioner preference leans towards fixed restorations for comfort and function.
  • Situations like insufficient healthy teeth/implants or severe alveolar bone loss pose challenges for conventional treatments.

Observation:

  • Removable prostheses often involve significant compromises in function and patient satisfaction.
  • Esthetically demanding cases, such as high smile lines, are difficult to manage with standard prosthetics.
  • Severe loss of alveolar support presents a significant hurdle for conventional restorative options.

Findings:

  • The functionally fixed restoration (Andrew's bridge) presents a third treatment modality.
  • This restoration combines the stability of fixed prostheses with patient-removable components for hygiene.
  • It effectively addresses limitations of traditional removable prostheses, offering improved comfort and success.

Implications:

  • This technique provides a viable solution for partially edentulous maxillas with severe alveolar bone loss.
  • It offers a patient-centered approach, allowing for easier periodontal maintenance.
  • The functionally fixed restoration enhances treatment outcomes in challenging restorative cases.