Abstract
Patient: A 70-year-old woman visited our clinic with a chief complaint of chewing difficulty due to serious periodontitis and an improper RPD. A poor prognosis of the maxillary anterior residual teeth was predicted. However, the patient's consent for tooth extraction could not be obtained. Consequently, the RPD was designed for the future additional tooth.
Discussion: The maxillary RPD has been functioning for 9 years through repeated additional teeth and repairs. Designing of the metal plate for the predicted prognosis allowed for additional teeth and repairs after losing of the residual teeth.
Conclusion: Designing of the denture for the predicted prognosis allowed long-term continuous use of the denture.