Abstract
Patient: A 62-year-old female patient presented with chewing difficulty and a request for good esthetics. The occlusal function was severely compromised because of increased mobility of the posterior dentition. Following the extraction of hopeless teeth, partially edentulous arches were restored with a maxillary nine-unit fixed restoration and maxillary and mandibular bilateral free-end saddle dentures.
Discussion: The oral health-related quality of life and subjective chewing ability were improved and high patient satisfaction was reported after the definitive prosthodontic replacements. The results were partly due to the effects of reconstructed occlusion by the fixed splinting and removable partial dentures that were rigidly retained in the maxillary and mandibular arches by the Co-Cr precision frameworks. The periodontal tissues and restorations have been maintained for more than 3 years.
Conclusion: Periodic post-operative recalls suggest that a combination of a long-span fixed bridge and removable partial dentures functions well for the partially edentulous patient with advanced periodontitis.