Rotational path removable partial denture: an esthetic alternative

Missing teeth can be replaced using any of a number of methods. Patients may choose to replace missing teeth with a prosthesis that is either removable, fixed, or retained with implants. When it is necessary to replace anterior or posterior teeth, a properly designed and fabricated rotational path removable partial denture can be both successful and esthetically pleasing to the patient. However, while a patient's functional and esthetic needs can be met successfully, rotational path removable partial dentures can be more demanding for the laboratory technician to fabricate and for the dentist to seat in the mouth. Rotational path removable partial dentures frequently are overlooked as a viable means of treating missing teeth. This article reviews the principles of rotational path removable partial dentures, as well as their categories, advantages, and disadvantages, in the hope that more dentists will consider them when the need arises.     

Restoration of an anterior edentulous space with a unique glass fiber-reinforced composite removable partial denture: a case report

The loss of anterior teeth can be hurtful to the patient both psychologically and socially. In adolescent patients, temporary replacement of the teeth can minimize these concerns. Many approaches have been described for this temporary replacement. This article presents an alternative approach for the oral rehabilitation of the preadolescent male who has edentulous space including sutura palatina media in the anterior maxilla. High expectations regarding esthetics by the patient were successfully met by utilizing a glass fiber-reinforced composite temporary removable partial denture. The restorations remained intact, with no discoloration or deterioration at the 16-month recall. CLINICAL SIGNIFICANCE: As growth and development of the jaws continue in the preadolescent patient, a glass fiber- reinforced composite temporary removable partial denture can be an esthetic and conservative option for replacement of missing anterior teeth.     

Improving the esthetic replacement of missing anterior teeth: interaction between periodontics and a rotational path removable partial denture

The rotational path of insertion concept for removable partial dentures (RPDs) can be used in esthetically demanding situations. This clinical report describes the treatment of a patient with an anterior maxillary edentulous area using a rotational path RPD. To optimally improve gingival esthetics and to allow proximal retention on the surveyors, a crown-lengthening surgical procedure was performed prior to prosthetic treatment on all teeth involved in this rehabilitation. When correctly planned and fabricated, this prosthesis allows excellent functional and esthetic results, minimizes tooth preparation, and reduces the tendency toward plaque accumulation.     

Distal extension mandibular removable partial denture connected to an anterior fixed implant-supported prosthesis: a clinical report

This clinical report demonstrates the possibility of achieving positive results with a removable prosthesis connected to an implant-supported fixed prosthesis. Bone quality and quantity at the implant sites are essential requirements for the success of the treatment. The support of the RPD and its connection with the fixed prosthesis creates stability during chewing activity and allows a functional activity similar to that involving an overdenture. The adoption of an occlusal scheme with subocclusion of the fixed prosthesis contacts compared with those of the removable prosthesis, together with the stress-director system of the RPD can be effective factors that decrease the risk of loss of implant integration. Further long-term follow-up studies with a larger patient population are needed to confirm the clinical and biomechanical validity of the prosthetic solution described in this clinical report.     

An esthetic removable partial denture retainer for the maxillary canine

The use of a distofacial ridge on a maxillary canine abutment for a distal-extension base of a removable partial denture is described. The distofacial ridge will permit the placement of a less conspicuous I-bar arm on the distofacial surface of the tooth. The ridge provides bracing against distal movement during function and thus prevents the subsequent loss of retention for the prosthesis. It also permits a more precise path of insertion and withdrawal for the prosthesis. Three methods of establishing a distofacial ridge on a canine abutment are described.     

Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

BACKGROUND

Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered.

CASE DESCRIPTION

A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period.

CLINICAL IMPLICATION

The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.     

Rotational path of insertion for removable partial dentures with an anterior saddle

The provision of removable partial dentures remains a viable treatment modality for many partially dentate patients. Replacing missing anterior teeth with a removable partial denture using a rotational path of insertion provides improved retention and appearance. The use of a rotational path of insertion also provides additional retention for a removable partial denture restoring combined anterior and posterior bounded saddles. Two case reports demonstrate the use of the rotational path of insertion for partial denture design.     

The 'fixed' removable partial denture: report of case

Careful monitoring of tissue that had been the site of three previous surgical procedures was necessary, but the patient needed a functional, esthetically acceptable prosthesis. The Andrews bridge was selected because it combines the stabilizing qualities of a fixed prosthesis with the accessibility to the tissues of a removable prosthesis. The recurring nature of the verrucous carcinoma along with extensive tissue loss were additional factors in selecting this appliance. The final results satisfied all the criteria. The patient has been seen at regular follow-up visits for 2 years since the last surgical procedure and there has been no clinical change in the previously involved tissue. The patient has tolerated the prosthesis well and is satisfied with her appearance.     

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. CLINICAL SIGNIFICANCE: 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.     

An atraumatic denture base design for a tooth-bound mandibular removable partial denture.

This technique applies accepted fixed prosthodontic pontic design to the denture base design of a tooth-bound removable partial denture. Patient feedback emphasizes the comfort and lack of bulk of the prosthesis compared with a removable partial denture of conventional design placed simultaneously.     

Managing the maxillary partially edentulous patient with extensive anterior tooth loss and advanced periodontal disease using a removable partial denture: a clinical report

The treatment modality, a continuous occlusal rest removable partial denture, not only restored missing teeth but also stabilized the remaining dentition in a patient with advanced periodontal attachment loss. By engaging the guiding planes at the mesial surfaces of the abutments anteriorly and also the distal surfaces of the abutments posteriorly, the remaining teeth, with varying amounts of mobility, were splinted together by the framework. This conservative treatment option allows flexibility for easy repair during the life span of the prosthesis.     

The use of a rotational-path design for a mandibular removable partial denture

The lack of display of anterior metal clasps is a primary advantage of the A-P rotational-path mandibular RPD design. A disadvantage of this design is that it relies on rigidmetal guiding plates for anterior retention and stability. Loss of retention may require procedures much more involved than the simple adjustment of conventional RPD clasps. Proper adherence to design, survey, fabrication, and adjustment procedures described by the authors should result in an esthetically pleasing and well-retained tooth-supported removable prosthesis. This article recommends the A-P rotational-path mandibular RPD as a treatment the clinician can use to restore multiple missing anterior teeth and satisfy a patient's financial, esthetic, and functional requirements.