Saad Javaid Mirza, Zahid Akhtar, Faraz Saleem, Maaz Asaad.
A Novel approach to Restoring an Edentulous Space with Decreased Vertical Space Using a Cast Removable Partial Denture with built-in Pontics: A Clinical Case Report.
J Pak Dent Assoc Jan ;22(1):65-8.

This case report describes a simple but an effective method of rehabilitating partially edentulous arches with a cast removable partial denture. Conventionally, acrylic teeth are attached to the cast frame with acrylic resin. In case of reduced vertical space between the opposing teeth and the edentulous area, this approach may not work as desired. Because of reduced thickness, the acrylic may not be able to sustain the impact of the cyclic loading and thus suffers fractures. In this case, the acrylization has been avoided by using a single- piece cast partial denture with inbuilt cast pontics. The high strength of the metal even in thin sections, ensure longer lasting performance. By designing the framework of the removable partial denture with inbuilt cast pontics, avoided the need for bonding teeth with acrylic resin. Buccal surfaces of the pontics were veneered with porcelain to mask the metal and hence an esthetic-look to the prosthesis. This function of prosthesis has been followed for more than a year without any problem and with full satisfaction of the patient. Thus the approach can be recommended for cases of the kind.

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