ORIGINAL RESEARCH

Journal of Case Reports in Dental Medicine (J Case Rep Dent Med) September 2020, Volume 2, Number 3: 57-59

An alternative approach to the replacement of missing teeth with

adhesive bridges and unilateral RPD metal frames: a case report

Irfan Dammar1*Andi Ajmal2

Abstract
Objective: The purpose of this case report is to restore healthy tooth to replace the old removable partial denture with fixed denture for maxillary
function with compromised tooth replacement so that patients are anterior teeth and also want to make a partial denture metal frames for
more confident and chew food well, a good choice of denture selection mandibular teeth.
methods are good for patients with loss of one anterior maxillary tooth Results: The case of loss of one maxillary anterior tooth was successful
with adhesive bridge denture treatment and choice of removable partial with the treatment of adhesive bridge dentures and the use of a removable
denture metal frames as an alternative solution to the replacement of partial denture metal frames a more stable and retentive mandibular
mandibular posterior teeth. posterior tooth loss that showed a better prognosis.
Methods: A 65 years old female patient came to Dental Hospital Hasanuddin Conclusion: Use of adhesive bridge dentures for maxillary anterior teeth
University with complaints of a loose maxillary partial denture complaining and and partial dentures metal frames for posterior mandibular teeth provides
difficulty chewing food because her posterior teeth had been removed +/- 7 satisfaction for patients because it can overcome aesthetic problems and
years ago and her anterior teeth were removed about +/- 5 years ago. Want improve good phonetic and masticatory functions.
-
Keywords: Adhesive bridge, RPD metal frames
Cite this Article: Dammar I, Ajmal A. 2020. An alternative approach to the replacement of missing teeth with adhesive bridges and unilateral
RPD metal frames: a case report. Journal of Case Reports in Dental Medicine. 2(3): 57-59. DOI: 10.20956/jcrdm.v2i3.133

Department of Prosthodontic, Introduction

Faculty of Dentistry, Hasanuddin
University
Correspondence to:
* A 65 years old female patient came to the
irfan_drg@yahoo.co.id
Received: 15 May 2020
Revised: 20 June 2020
Accepted: 25 July 2020
Available Online: 1 September 2020
The position of the lost anterior teeth is aesthetic,
phonetic, and functional but the functional chewing
load on the anterior teeth is lower than that of
the posterior teeth, so the prosthesis reinforced
by resin attachment can be a viable alternative in
cases such as the amount of reduction required
in the teeth adjacent. Minimal and is also a cost-
effective procedure.1
Removable partial denture (RPD) is an
important prosthetic choice for oral rehabilitation
for patients who have partially lost teeth.3 The RPD
presents several advantages over other rehabilitation
procedures that make the RPD consolidated in a
social and professional context, such as: cost / benefit
ratio; small worn tooth structure; easy maintenance
compared to other types of prostheses; efficient
solutions to resolve difficult situations mechanically;
and flexibility.4
Case Report
Hasanuddin University Dental Hospital complaining
of loose maxillary partial dentures and difficulty
chewing food due to the loss of several lower back
teeth. Patients feel less confident because their teeth
sometimes shake when talking and eating and have
difficulty chewing food. Treatment options provided
to patients include fixed prosthesis implant support,
conventional fixed partial denture. Patients are not
ready for implant-supported prostheses due to cost
factors, so the choice of adhesive bidge dentures
is more conservative and economically acceptable
for patients.
On first visit doing filling status and patient
signed an informed consent and making study
casts, then proceed with making a design an
anterior maxillary adhesive bridge denture and
a survey line for removable partial dentures
metal frames of posterior mandible. Extra oral
examination revealed no abnormalities. Intraoral
examination revealed several missing teeth 12,
35, 36, 37. Figure 1
The second visit, Tooth preparation of the
palatal part of abutment teeth 11 and 13 was made
for bridge adhesive in edentulous teeth 12. An
additional parallel tooth preparation and modifica-
tion technique was also carried out by making pin
holes in cingulum of the abutment teeth 11 and 13
Figure 2.
Then the tooth color selection wih shade guide
Figure 3, double impression was performed for
the manufacture of bridge denture and removable
partial denture Figure 4. Third visit, try in adhesive
bridge dentures and RPD metal frames Figure 5
and the insertion proceed with using segmentation
dual cure system Figure 6. Fourth visit, Insertion
off RPD metal frames Figure 7.

 © 2020 JCRDM. Published by Faculty of Dentistry, Hasanuddin University. All rights reserved. 57
ORIGINAL RESEARCH

Discussion
This treatment method aims to restore healthy
tooth function so that patients can chew food
properly, minimally invasive dentistry has led
to the search for better preparation to reduce
unnecessary loss of tooth structure. Undoubtedly,
adhesive dentistry has paved the way for min-
imally invasive preparation; however, mechanical
retention, if possible adds to the long-term
success of the restoration. The Maryland Bridge
has been used for years and has undergone
various changes in design.5
Denture bridge treatment aims to restore
lost teeth. Indications for the treatment of
Figure 1 Intraoral View.
adhesive denture bridges are mild occlusion
contacts, young patients and good oral hygiene.
Resin bonded bridges (RBBs) are minimally
invasive fixed prostheses that rely on composite
resin cement for retention. 6 Okada and Inoue
demonstrated in 2008 that “ideal preparation is
not easy even for skilled dentists. As for intra oral
preparations in making artificial denture bridges
using parallel measurement methods, they will
save time and higher accuracy.7
Mechanical consideration of the preparation of
a supporting tooth is one of the factors to consider
Figure 2 Tooth preparation with parallelly technique and pin
hole besides the surface area and surface roughness
modification of the tooth preparation. Most importantly the
shape of the preparation design itself can provide
a retention and resistance to the release of a
restoration.8
This is supported by Kayser quoted by Ridwan
who said retention of cast metal crowns was
determined by several factors, namely the extent of
cemented tooth surface, slope of the preparation
wall, metal resistance and stiffness, cement used,
surface roughness of tooth preparation, retention
of adding pin contents, box and groove.9
Figure 3 Color selection with shade guide Removable partial dentures will continue to
be one of the main treatment options for patients
with partially edentulous. The advantage of
removable partial denture (RPD) metal frames
compared to conventional dentures including
strength and base can be made as thin as possible
and has the highest retentive strength.10

Figure 4 Final Impression

58 Journal of Case Reports in Dental Medicine (J Case Rep Dent Med) September 2020; 2(3): 57-59. DOI: 10.20956/jcrdm.v2i3.133
 ORIGINAL RESEARCH

Conflict of Interest
The authors report no conflict of interest.

References
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gigi terhadap retensi dari mahkota penuh logam cor yang
Figure 7 Final Result of RPD metal frame. disemen. Jurnal Kedokteran Gigi 1991; 11: 3-4.
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Effect of abutment selection to the clasp design of metal
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Conclusion (2010).

The use of adhesive bridge dentures for maxillary

anterior teeth and removable partial denture metal
frames for posterior mandibular teeth provide patient
satisfaction because they can overcome aesthetic
problems and improve phonetic function and good
mastication.
This work is licensed under a Creative Commons Attribution

Aknowledgment
None .

Journal of Case Reports in Dental Medicine (J Case Rep Dent Med) September 2020; 2(3): 57-59. DOI: 10.20956/jcrdm.v2i3.133 59