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Josiah Thomas
Josiah Thomas

Prosthodontic Treatment For Edentulous Patients 13th Edition 48.pdf BEST



Managing partially edentulous patients is always a great challenge to dentists. With advancements in technology, treatment modalities for tooth replacement have been expanded. Removable partial dentures, resin-bonded bridges and implant-supported prostheses are commonly prescribed treatment options for teeth replacement of partially edentulous patients. The removable partial denture has a wide scope of applications. It can replace multiple missing teeth in a single prosthesis and provide replacement to the loss of hard and soft tissues. For patients who anticipate further tooth loss, simple modifications can be made to the existing denture that has incorporated components to accommodate the future loss with good planning in advance. It is often regarded as a reversible treatment option and does not preclude the more complex future modalities.1 Hence, it is useful as a definitive prosthesis as well as a temporary prosthesis or a diagnostic tool prior to the next phase of treatment.




Prosthodontic Treatment For Edentulous Patients 13th Edition 48.pdf BEST



In general dental practice, removable partial dentures remain one of the most prescribed treatment options for the partially edentulous patients. Many people prefer a removable partial denture for health, anatomic, psychological, or financial reasons.5 Frequently, much attention in the design of partial dentures is driven towards achieving desirable mechanical requirements, namely retention, support and stability. It appears that the esthetic aspect of the denture design has not received the amount of attention it deserves. Esthetics is an important factor affecting patient satisfaction,5 and it must be remembered that esthetics may be the primary reason for the patient to seek treatment. The placement of metal clasps on the buccal surface of premolars jeopardizes the appearance significantly. Attempts to avoid metal clasps have led to the development of precision attachment devices,6 tooth-colored resin clasps and flexible buccal flanges.7 However, precision attachment requires tooth reduction, tooth colored clasps make the denture more plaque retentive whereas flexible buccal flanges undermines the support of the denture in addition to being plaque retentive.


This case report described the indication and design of palatal retentive arms in removable partial dentures. This modified retentive arm provides good esthetics in addition to support, stability and retention. It provides a non-invasive and economical treatment option to restore oral health in partially edentulous patients. The patient was very satisfied with the outcome.


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