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Barclay2001 3 Part Swing Lock Design PDF
Barclay2001 3 Part Swing Lock Design PDF
case report
Fig. 1 An occlusal view of the maxillary arch Fig. 2 An occlusal view with the original denture in place
showing the wear and discoloration present
remaining lateral incisors did not offer such result of the deep complete overbite. This denture, or some form of sectional or preci-
support which would have necessitated would have meant that the bar connector sion retained denture. For an acrylic resin
involving the canine teeth. This would have could not have joined the abutment teeth to partial denture to be successful an increase in
resulted in elective crown destruction of the prosthetic unit without affecting the the occlusal face height would be required to
four virgin teeth with the possibility of occlusion. As far as dental implants were allow for space for the acrylic palate. This
changed appearance, future pulp death and concerned these would have been techni- would have required a posterior onlay to be
aesthetic problems with ongoing gingival cally possible, as there was adequate height placed to restore the loss of contact of the
recession. Adhesive bridgework, in the form and width of bone in the edentulous region. posterior teeth as a result of the increase in
of two cantilevered units, would also have However the angulation of a subsequent vertical dimension. It had been determined
been potentially hazardous with the small crown to any implant would have been severe at the original assessment 14 years previ-
crowns of the lateral incisors being used for as a result of the retroclination of her remain- ously that the patient could not tolerate any
retention. In addition the deep complete ing anterior teeth and the residual ridge in reduction in her freeway space and this was
overbite would have necessitated that the this region. In addition, the patient was not still the case. A cobalt chromium alloy den-
retaining wings would have carried the pro- keen on surgery and was therefore not inter- ture would also require some form of con-
trusive guidance and therefore would have ested in such an option although this would nector to link the saddle to the tooth borne
had to be finished at the incisal level which not have been precluded by her age. and retentive elements. Although cobalt-
would have compromised the aesthetic The options available as regards a remov- chromium alloy can be made in a thin sec-
result. Spring cantilever bridgework from able prosthesis are an acrylic resin partial tion, the complete overbite meant that no
posterior units would be impossible as a denture, a cobalt-chromium alloy partial form of palatal coverage could be tolerated
Fig. 3 An exploded view of the original three part sectional Fig. 4 Anterior view with the teeth in occlusion and the new
denture denture in place
14 years previously (Fig. 3). The old cobalt- ical preparation; however an accurate sili-
chromium alloy skeleton although func- cone master impression is essential and the
tional, now exhibited signs of ageing technical stages involve cobalt-chromium
particularly in relation to the hinges and castings to be made to the highest specifica-
split pins. tion. The technical expertise and support
Master impressions were recorded there- required in such cases is often difficult to
fore using silicone impression material and find. The maintenance and recall of such
a hardened die cast was prepared and dentures should follow standard denture
duplicated for the cobalt chromium base to procedure in that the patient should be seen
be made. The resultant casting was tried in for routine oral hygiene and denture hygiene
and after fine adjustments the matrix procedures as required by the individual’s
Fig. 5 The final aesthetic result acrylic resin was added and the denture needs and the denture should be reviewed
inserted (Fig. 4). The two posterior sec- six-monthly regarding any activation of pins
tions could be seated on their supporting or locking mechanisms. This unusual case
and therefore the only form of connector abutment teeth and the separate swinglock shows that with the correct treatment plan-
possible would involve a buccal connector. arms rotated into position in the buccal ning and management a case such as this,
The severity of the undercut in the buccal sulcus. These arms were then locked in even by the use of a complex partial denture
sulcus region meant that a one-piece den- place by the placement of the anterior framework, can be extremely successful in
ture could not be placed. This left the only saddle, which had tubing that friction- terms of life expectancy and if maintained
possible choice as being a sectional denture gripped the split posts. In this anterior properly does not endanger the remaining
or the use of attachments connected to the region the cobalt chromium alloy portion dentition in any way.
neighbouring abutment teeth. The use of was masked using opaquer to eliminate the
precision attachments would have involved metal shining through the acrylic resin 1 Pullen-Warner E, L’Estrange P R. Sectional
dentures: a clinical and technical manual. New
preparation of these abutment teeth, which split pin section, although clearly it was not York: Wright and Sons, 1978: 18.
the patient was keen to avoid if possible. This possible to eliminate this totally. The 2 Lee J H. Sectional partial metal dentures
left the use of a sectional denture as the only patient was delighted with the finished incorporating an internal locking bolt. J
realistic option available. result (Fig. 5) and has now been wearing Prosthet Dent 1963; 13: 1067-1075.
3 Dummer P M H, Gidden J. The upper anterior
the replacement partial upper denture for sectional denture. J Prosthet Dent 1979; 41:
Treatment 18 months. 146-152.
After careful analysis and surveying of the 4 Simmons J J. Swinglock stabilization and
retention. A preliminary clinical report. Tex
study casts it became apparent that the only Conclusion Dent J 1963; 81: 10-12.
design possible which would provide both The management of the edentulous space 5 Russell M D, Turner P. A three-part sectional
an acceptable aesthetic and functional result using complex partial denture designs such design for an upper removable partial denture
was the three-part bilateral swinglock den- as split pins or swinglock dentures does not with an anterior modification. Br Dent J 1987;
162: 24-26.
ture which had been the design of choice involve any special consideration in the clin-