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ONE CASE REPORT OF REHABILITATION OF MIDFACIAL DEFECT USING SEMI-PRECISION ATTACHMENTS
Authors:SUN Jian  JIAO Ting  JIANG Yong-lin  ZHANG Fu-qiang
Affiliation:Department of Prosthodontics, Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, School of Stomatology, the Ninth People's Hospital, School of Medcine, Shanghai Jiaotong University, Shanghai 200011, China
Abstract:Objective To discuss the application of semi-precision attachment in restoring a midfacial defect, including a nasal, upper lip, and anterior maxillary defect.Methods A splinted metal-ceramic crowns (from the upper right first molar to left molar) and a bar with stud attachments was done. A removable partial denture (RPD) containing the patrix portion of the attachment was then designed to restore the missing maxillary anterior teeth and alveolar ridge. Finally, The facial prosthesis was joined to the denture utilizing two retentive metal posts on the superior aspect of the removable partial.Results A splinted metal-ceramic crowns (from the upper right first molar to left molar) and a bar with stud attachments was done. A RPD containing the patrix portion of the attachment was then designed to restore the missing maxillary anterior teeth and alveolar ridge. Finally, The facial prosthesis was joined to the denture utilizing two retentive metal posts on the superior aspect of the removable partial.The prosthesis markedly improved the appearance of the patient and demonstrated good retention.Conclusion Using attachment in restoring maxillofacial defect may provide adequate retetion which lead to a sucessful treatment outcome.
Keywords:maxillofacial defect attachment facial prosthesis
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