Removable Partial Denture with Distal Extension and Implant Support, Behavior and Clinical Consideration

María José Arellano-Valeria; Denise Olivares-Keller & Marco Antonio Flores

Summary

The rehabilitation of free ends in a unilateral or bilateral jaw represents a major challenge for the dentist, and is a problem to solve in the daily clinical practice. These cases are usually resolved by removable partial dentures, which should be able to withstand horizontal forces. Torque adverse effect can occur during functioning, because of torque forces terminals against pillars and soft tissue mainly caused by the different resilience of these structures, therefore affecting retention, stability and support of the dental prosthesis. In recent times it has been reported that mandibular removable partial dentures in combination with distal free end implants can be a viable alternative to traditional removable partial dentures and implantsupported fixed partial dentures for treatment of partial toothless free end, however literature regarding functionality and prognosis of this alternative is limited. This paper presents a systematic literature review aimed to identify and synthesize the best available evidence regarding the considerations and clinical behavior of this treatment modality in edentulous Class I and II of the edentulous Kennedy mandibular.

KEY WORDS: removable partial denture implant, removable partial dentures on implants, free end.

How to cite this article

ARELLANO-VALERIA, M. J.; OLIVARES-KELLER, D. & FLORES, M. A. Removable partial denture with distal extension and implant support, behavior and clinical consideration. Int. J. Odontostomat., 8(3):419-424, 2014.