Implant assisted removable partial denture using a few remaining maxillary teeth and locator bar system: A case report

소수 잔존치를 가진 상악에 Bar와 Locator®를 이용한 임플란트 융합 국소의치 치료 증례

  • Kim, Seong-Jung (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University) ;
  • Bae, Eun-Bin (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University) ;
  • Jeon, Young-Chan (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University) ;
  • Jeong, Chang-Mo (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University) ;
  • Yun, Mi-Jung (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University) ;
  • Lee, So-Hyoun (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University) ;
  • Huh, Jung-Bo (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, School of Dentistry, Pusan National University)
  • 김성종 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 배은빈 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 전영찬 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 이소현 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실)
  • Received : 2017.04.03
  • Accepted : 2017.06.01
  • Published : 2017.08.01

Abstract

Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with $Parkinson^{\circ}$Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

Keywords

Acknowledgement

Supported by : 부산대학교치과병원

References

  1. Budtz-Jorgensen E. Restoration of the partially edentulous mouth-a comparison of overdentures, removable partial dentures, fixed partial dentures and implant treatment. J Dent 1996;24:237-244. https://doi.org/10.1016/0300-5712(95)00075-5
  2. Mijiritsky E, Karas S. Removable partial denture design involving teeth and implants as an alternative to unsuccessful fixed implant therapy: a case report. Implant Dent 2004;13:218-222. https://doi.org/10.1097/01.id.0000136919.13387.94
  3. Chikunov I, Doan P, Vahidi F. Implant?Retained Partial Overdenture with Resilient Attachments. J Prosthodont 2008;17:141-148. https://doi.org/10.1111/j.1532-849X.2007.00261.x
  4. de Carvalho WR, Barboza EP, Ca?la AL. Implantretained removable prosthesis with ball attachments in partially edentulous maxilla. Implant Dent 2001;10:280-284.\ https://doi.org/10.1097/00008505-200110000-00012
  5. Bortolini S, Natali A, Franchi M, Coggiola A, Consolo U. Implant-retained removable partial dentures: an 8-year retrospective study. J Prosthodont 2011;20:168-172. https://doi.org/10.1111/j.1532-849X.2011.00700.x
  6. Renouard F, Nisand D. Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study. Clin Implant Dent Relat Res. 2005;7:104-110. https://doi.org/10.1111/j.1708-8208.2005.tb00082.x
  7. Trakas T, Michalakis K, Kang K, Hirayama H. Attachment systems for implant retained overdentures: a literature review. Implant Dent. 2006;15:24-34. https://doi.org/10.1097/01.id.0000202419.21665.36
  8. Kim MS, Yoon MJ, Huh JB, Jeon YC, Jeong CM. Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report. J Adv Prosthodont 2012;4:116-120. https://doi.org/10.4047/jap.2012.4.2.116
  9. Han KH, Lee JY, Shin SW. Implant- and Tooth-Supported Fixed Prostheses Using a High-Performance Polymer (Pekkton) Framework. Int J Prosthodont. 2016;29:451-454. https://doi.org/10.11607/ijp.4688
  10. Emami E, Heydecke G, Rompre PH, de Grandmont P, Feine JS. Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a metaanalysis of randomized-controlled trials. Clin Oral Implants Res 2009;20:533-544.
  11. Ohkubo C, Kobayashi M, Suzuki Y, Hosoi T. Effect of Implant Support on Distal-Extension Removable Partial Dentures: In Vivo Assessment. Int J Oral Maxillofac Implants 2008;23:1095-1101.
  12. Mijiritsky E, Karas S. Removable partial denture design involving teeth and implants as an alternative to unsuccessful fixed implant therapy: a case report. Implant Dent 2004;13:218-222. https://doi.org/10.1097/01.id.0000136919.13387.94
  13. Chikunov I, Doan P, Vahidi F. Implant-Retained Partial Overdenture with Resilient Attachments. J Prosthodont 2008;17:141-148. https://doi.org/10.1111/j.1532-849X.2007.00261.x