Study about Unique, Cost-effective and Retentive Removable Prosthesis to Rehabilitate Long Span Kennedy’s Class I Edentulism with Custom Attachment System | Chapter 10 | Issues and Developments in Medicine and Medical Research Vol. 7

 The goal of this case study is to demonstrate how a custom-made attachment on the abutment teeth was employed to increase the retention and stability of a removable partial denture. It also explains how crowns and custom-made attachments can be used to change the abutment teeth at a cheap cost.

Background: Maintaining retention in Kennedy's class I bilateral edentulism has a negative impact on the abutment teeth's periodontal health, and the retention is eventually jeopardised. Distal extension edentulism has an effect on the patient's masticatory efficiency. The lack of a sufficient number of abutments to support the prosthesis complicates the rehabilitation of a patient with long-span Kennedy's class I condition. Traditional detachable prosthesis with clasps and cantilever fixed partial prostheses are not advised in this case for the same reason.

The Kennedy class 1 modification is the subject of this case. 1 partly edentulous arch with missing 1st and 2nd molars and central incisors was rehabilitated with a low-cost custom attachment that used a die-pin and sleeve to produce a fixed prosthesis on abutment teeth and a removable prosthesis with missing teeth.

Conclusion: This treatment has the following advantages over standard RPDs: improved retention, protection of abutment health through crown repair, convenience of insertion and removal, and low cost.

Clinical Importance: When compared to semi-precision and precision attachments, the complete process requires less competence.

Author(S) Details

Abhijit Patil
Department of Prosthodontics and Crown and Bridge, KAHER’S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Anuradha V. Pawar
Private Dental Practitioner, Nashik, Maharashtra, India.

Raghunath Patil
Department of Prosthodontics, KAHER’S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Anandkumar G. Patil
Department of Prosthodontics, KAHER’S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Prashant Karni
Department of Prosthodontics, KAHER’S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

Sayali Mardolkar
Department of Prosthodontics, KAHER’S KLE VK Institute of Dental Sciences, Belagavi, Karnataka, India.

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